Active NPI
Katie Marie Good, PA-C
- Physician Assistant
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 553281
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01867705 | Other | TX | RAILROAD |
| 324876701 | Medicaid | TX | |
| 1093966178 | Medicaid | WI | |
| 324876702 | Medicaid | TX |
Other names 1
- Katie M. Habersbrunner
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
Enrollment records 1
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
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 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2329 | WI | MD | General Practice Dentistry |
| 085003833 | IL | MD | Physician Assistant |
| 553281 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Current | 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
- 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.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Medical Oncology Physician
- Austin, TX
- NPI 1972770303
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.