Individual provider Active NPI

Kirstin Brooke Harrell, PA-C

  • Surgical Physician Assistant
  • Austin, TX
National Provider Identifier
1063767341
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA07861 Issued in TX
Practice address
4700 Seton Center Pkwy Ste 200
Austin, TX 78759-4107
Phone
(512) 439-1000
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA07861 TX Primary
Physician Assistant 363A00000X 021740 NY

Addresses

Primary practice location

4700 Seton Center Pkwy Ste 200
Austin, TX 78759-4107

Mailing address

4700 Seton Center Pkwy Ste 200
Austin, TX 78759-4107
Phone (512) 439-1000

Other practice location 1

10861 183A Toll Road
Bldg 1200, Ste 1200
Leander, TX 78641-1257
Phone (512) 439-1000

Other practice location 2

101 Medical Pkwy Ste 120
Lakeway, TX 78738-5647
Phone (512) 439-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120907000300 TX Practitioner - Physician Assistant 0143478685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

3755 S Capital of Texas Hwy
Suite 130
Austin, TX 78704-6623
Phone (512) 439-1000

Hospital & facility affiliations

  • North Austin Medical Center Hospital, Austin, TX, CCN 450809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC CurrentSince May 23, 2022 Accepting new patients
Ortholonestar, PLLC CurrentSince May 23, 2022 Accepting new patients

Locations

11652 Jollyville Rd
Austin, TX 78759
Phone (512) 551-0375

4700 Seton Center Pkwy
Ste 200
Austin, TX 78759
Phone (512) 439-1011

3755 S Capital of Texas Hwy
Ste 130
Austin, TX 78704
Phone (512) 439-1005

4700 Seton Center Pkwy
Ste 115
Austin, TX 78759
Phone (346) 440-0644

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

4215 Benner
Ste 300
Kyle, TX 78640
Phone (512) 439-1007

101 Medical Pkwy
Ste 120
Lakeway, TX 78738

10861 183A Toll Rd
Ste 1200
Leander, TX 78641
Phone (512) 439-1009

Interoperability endpoints

  • Direct secure messaging: kirstin.harrell.1@15533.direct.athenahealth.com
  • Direct secure messaging: kirstinharrell@nslijmedgr.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1063767341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594107",
            "telephone_number": "512-439-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594107",
            "telephone_number": "512-439-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10861 183A Toll Road",
            "address_2": "Bldg 1200, Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "786411257",
            "country_code": "US",
            "telephone_number": "512-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Medical Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lakeway",
            "state": "TX",
            "postal_code": "787385647",
            "country_code": "US",
            "telephone_number": "512-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "KIRSTIN",
        "middle_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA07861",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.