Individual provider Active NPI

Alex Perez, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1083227516
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1088094 Issued in TX
Practice address
101 W Koenig LN Unit 100
Austin, TX 78751-1273
Phone
(833) 937-5463
NPI assigned
Aug 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 309926 NY
Adult Health Nurse Practitioner 363LA2200X 1088094 TX Primary

Addresses

Primary practice location

101 W Koenig LN Unit 100
Austin, TX 78751-1273

Mailing address

6402 Woodbury Springs LN
Spring, TX 77379-2000
Phone (646) 833-5986

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
I20250506002742 TX Practitioner - Nurse Practitioner 3577979129 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1088094TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Action CurrentSince Mar 1, 2025 Accepting new patients

Locations

101 W Koenig Ln
Unit 100
Austin, TX 78751
Phone (512) 454-9426

2800 S Interstate 35
Ste 103
Austin, TX 78704
Phone (512) 826-0773

2800 S Interstate 35
Ste 215
Austin, TX 78704
Phone (512) 330-9444

101 W Koenig Ln
Unit 300
Austin, TX 78751
Phone (512) 565-7750

3802 Cedar Springs Rd
Ste 110
Dallas, TX 75219
Phone (512) 853-9547

730 Isom Rd
Ste 104
San Antonio, TX 78216
Phone (512) 853-9547

Interoperability endpoints

  • Direct secure messaging: alex.perez.1@15777.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1083227516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 WOODBURY SPRINGS LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792000",
            "telephone_number": "646-833-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W KOENIG LN UNIT 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511273",
            "telephone_number": "833-937-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ALEX",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-25",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309926",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1088094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.