Individual provider Active NPI

Carina Yvette Rew, RN, BSN, MSN, AG-CNS

  • Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1104308188
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
AP138431 Issued in TX
Practice address
1111 W 34TH St Ste 200
Austin, TX 78705-1916
Phone
(512) 454-4588
Fax
(512) 459-9869
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X AP138431 TX Primary
Registered Nurse 163W00000X 783978 TX

Addresses

Primary practice location

1111 W 34TH St Ste 200
Austin, TX 78705-1916

Mailing address

PO Box 10597
Austin, TX 78766-1597
Phone (512) 485-5889

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
I20181215000066 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 4183969454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Health Partners TX PLLCGroup PAC ID 7214455914, 35 clinicians

Practice addresses (Care Compare)

1505 W Hwy 290
Dripping Springs, TX 78620-3402
Phone (512) 858-5624

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
57.89
Promoting interoperability
96
Improvement activities
40
Cost
78.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
783978TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1104308188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10597",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787661597",
            "telephone_number": "512-485-5889",
            "fax_number": "512-420-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 34TH ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051916",
            "telephone_number": "512-454-4588",
            "fax_number": "512-459-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REW",
        "first_name": "CARINA",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, MSN, AG-CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "TX",
            "license": "AP138431",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "783978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.