Individual provider Active NPI

Elaine Dianne Kincaid

  • Nurse Practitioner
  • Harker Heights, TX
National Provider Identifier
1104330422
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP134427 Issued in TX
Practice address
850 W Central Texas Expy
Harker Heights, TX 76548-1890
Phone
(254) 690-0900
NPI assigned
Nov 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP134427 TX Primary

Addresses

Primary practice location

850 W Central Texas Expy
Harker Heights, TX 76548-1890

Mailing address

850 W Central Texas Expy
Harker Heights, TX 76548-1890

Other names 1

  • Elaine Kincaid Chase Other 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
I20180108001114 TX Practitioner - Nurse Practitioner 7113286790 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lonestar Hospital Medicine Associates PAGroup PAC ID 6709049703, 126 clinicians

Practice addresses (Care Compare)

850 W Central Texas Expy
Harker Heights, TX 76548-1890
Phone (254) 690-0900

Hospital & facility affiliations

  • Seton Medical Center Harker Heights Hospital, Harker Heights, TX, CCN 670080
  • Adventhealth Rollins Brook Hospital, Lampasas, TX, CCN 451323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP134427TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Apr 1, 2018 Accepting new patients
Austin Critical Care Specialists PA CurrentSince Nov 1, 2017 Accepting new patients
Austin Critical Care Specialists PA Current Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Apr 1, 2023 Accepting new patients

Locations

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

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

Interoperability endpoints

  • Direct secure messaging: ekincaid262100@ahs.direct-ci.com

Organizations & group practices 4

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 2

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": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1104330422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W CENTRAL TEXAS EXPY",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W CENTRAL TEXAS EXPY",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481890",
            "telephone_number": "254-690-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "ELAINE",
        "middle_name": "DIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "KINCAID CHASE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harker Heights, TX

Sources for this page

Verify at the official NPI Registry.