Individual provider Active NPI

Jessica Kate Malsky, APRN, FNP-C

  • Family Medicine Physician
  • West Lake Hills, TX
National Provider Identifier
1124735329
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1075395 Issued in TX
Practice address
4407 Bee Caves Rd Ste 112
West Lake Hills, TX 78746-6498
Phone
(512) 328-4999
NPI assigned
Oct 28, 2022
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1075395 TX Primary

Addresses

Primary practice location

4407 Bee Caves Rd Ste 112
West Lake Hills, TX 78746-6498

Mailing address

2101 Amur Dr
Austin, TX 78745-2085

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica@entaustin.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230530002196 TX Practitioner - Nurse Practitioner 8022475417 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1075395TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Association of Otolaryngologists CurrentSince Jan 28, 2023 Accepting new patients
Austin Kidney Associates PA PastSince Oct 30, 2022 Accepting new patients

Locations

4407 Bee Caves Rd
West Lake Hills, TX 78746

4407 Bee Caves Rd
Ste 112
West Lake Hills, TX 78746
Phone (512) 328-4999

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, 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": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1124735329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 AMUR DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787452085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 BEE CAVES RD STE 112",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466498",
            "telephone_number": "512-328-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALSKY",
        "first_name": "JESSICA",
        "middle_name": "KATE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1075395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica@entaustin.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4407 Bee Caves Rd Ste 112",
            "city": "West Lake Hills",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787466498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.