Individual provider Active NPI

Katie Marie Good, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1093966178
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
553281 Issued in TX
Practice address
4101 James Casey St
Suite 100
Austin, TX 78745-3325
Phone
(512) 447-2202
Fax
(512) 447-5337
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085003833 IL
Physician Assistant 363A00000X 553281 TX Primary

Addresses

Primary practice location

4101 James Casey St
Suite 100
Austin, TX 78745-3325

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other identifiers 4

IdentifierTypeStateIssuer
P01867705OtherTXRAILROAD
324876701MedicaidTX
1093966178MedicaidWI
324876702MedicaidTX

Other names 1

  • Katie M. Habersbrunner Former name

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
I20131108000667 TX Practitioner - Physician Assistant 9931267564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

12221 Renfert Way
Suite 300
Austin, TX 78758-5453
Phone (512) 873-8900

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456

211 Elmhurst
Suite a
Kyle, TX 78640-5983
Phone (512) 268-5383

2300 Lohmans Spur
Suite 104
Lakeway, TX 78734-6241
Phone (512) 373-3169

4101 James Casey St
Austin, TX 78745-1145

7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313

901 W 38TH St
Suite 200
Austin, TX 78705-1165
Phone (512) 421-4100

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2329WIMDGeneral Practice Dentistry
085003833ILMDPhysician Assistant
553281TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Sep 16, 2013 Accepting new patients
Central Dupage Physician Group Past Accepting new patients
Texas Oncology PA Past Accepting new patients

Locations

4101 James Casey St
Ste 100
Austin, TX 78745
Phone (512) 447-2202

12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2410 Round Rock Ave
Ste 150
Round Rock, TX 78681
Phone (512) 341-8724

Interoperability endpoints

  • Direct secure messaging: katie.habersbrunner@txo.ikm.direct-ci.com

Organizations & group practices 3

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": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1093966178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 JAMES CASEY ST",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453325",
            "telephone_number": "512-447-2202",
            "fax_number": "512-447-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003833",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "553281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01867705",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324876701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093966178",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324876702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "HABERSBRUNNER",
            "middle_name": "M.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.