Individual provider Active NPI

Andrea Bickley, NP PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1104605096
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1128105 Issued in TX
Practice address
700 SE Inner Loop
Georgetown, TX 78626-7700
Phone
(512) 819-9400
NPI assigned
Sep 28, 2023
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1128105 TX Primary

Addresses

Primary practice location

700 SE Inner Loop
Georgetown, TX 78626-7700

Mailing address

700 SE Inner Loop
Georgetown, TX 78626-7700

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
I20231108002400 TX Practitioner - Nurse Practitioner 9830546167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Springs Physician Group LLCGroup PAC ID 2365751468, 16 clinicians

Practice addresses (Care Compare)

700 SE Inner Loop
Georgetown, TX 78626-7700
Phone (512) 819-9400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1128105TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Sep 12, 2024 Accepting new patients
Rock Springs Physician Group LLC Psychiatry CurrentSince Nov 6, 2023 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Psychiatry CurrentSince Sep 12, 2024 Accepting new patients

Locations

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

1717 W 10th St
Austin, TX 78703
Phone (512) 472-3142

1335 E Whitestone Blvd
#200
Cedar Park, TX 78613
Phone (512) 819-9400

700 SE Inner Loop
Georgetown, TX 78626
Phone (512) 351-8769

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1104605096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SE INNER LOOP",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SE INNER LOOP",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267700",
            "telephone_number": "512-819-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKLEY",
        "first_name": "ANDREA",
        "credential": "NP PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1128105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.