Individual provider Active NPI

Elizabeth Ann-Haden Danner, MSN, APRN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1124772298
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1070107 Issued in TX
Practice address
7200 Wyoming Springs Dr Ste 1300
Round Rock, TX 78681-4306
Phone
(512) 244-2273
Fax
(512) 244-3179
NPI assigned
Feb 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1070107 TX
Acute Care Nurse Practitioner 363LA2100X 1070107 TX Primary

Addresses

Primary practice location

7200 Wyoming Springs Dr Ste 1300
Round Rock, TX 78681-4306

Mailing address

PO Box 10597
Austin, TX 78766-1597
Phone (512) 420-0186

Other practice location 1

2008 Nine Rd
Brady, TX 76825-7210
Phone (325) 456-2901

Other names 1

  • Ms. Elizabeth Ann-Haden Tidwell Former 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
I20251126000915 TX Practitioner - Nurse Practitioner 9537651591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Gastroenterology PLLCGroup PAC ID 9739174954, 75 clinicians

Practice addresses (Care Compare)

1361 Hero Way
Suite 100
Leander, TX 78641-5579
Phone (512) 244-2273

Hospital & facility affiliations

  • North Austin Medical Center Hospital, Austin, TX, CCN 450809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1070107TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Gastroenterology, PLLC CurrentSince Nov 15, 2025 Accepting new patients
Austin Gastroenterology PA CurrentSince Nov 15, 2025 Accepting new patients

Locations

7951 Shoal Creek Blvd
Ste 200
Austin, TX 78757
Phone (512) 454-4588

1361 Hero Way
Ste 100
Leander, TX 78641
Phone (512) 371-1519

7200 Wyoming Springs Dr
Ste 1300
Round Rock, TX 78681

Interoperability endpoints

  • Direct secure messaging: edanner65874@shannonhealth.direct-ci.com
  • FHIR API: https://f1c3b871-8724-4a21-b291-f8f62dcb574b.gastro.prod.fhir.ema-api.com/fhir/r4/

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.

Hospital & facility affiliations 1

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": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1124772298",
    "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": "512-420-0186",
            "fax_number": "903-200-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPRINGS DR STE 1300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814306",
            "telephone_number": "512-244-2273",
            "fax_number": "512-244-3179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2008 Nine Rd",
            "address_purpose": "LOCATION",
            "city": "Brady",
            "state": "TX",
            "postal_code": "768257210",
            "country_code": "US",
            "telephone_number": "325-456-2901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANNER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN-HADEN",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1070107",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1070107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "TIDWELL",
            "middle_name": "ANN-HADEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.