Active NPI
Jessie Alexandra Bangs, MD, L.AC.
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1134540438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- T4708
- Practice address
- 4900 Mueller Blvd
Austin, TX 78723-3051 - Phone
- (512) 324-0101
- NPI assigned
- Jan 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC01498 | TX | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | T4708 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10072954 | TX | |
| Psychiatry Physician | 2084P0800X | T4708 | TX | Primary |
Addresses
Primary practice location
4900 Mueller Blvd
Austin, TX 78723-3051
Mailing address
4900 Mueller Blvd
Austin, TX 78723-3051
Other practice location 1
1501 Red River St Fl 2
Austin, TX 78712-1845
Phone (512) 495-5555
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Texas Tech University Health Science Center School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3223 S Loop
289 Suite 600
Lubbock, TX 79423-1372
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC01498 | TX | MD | Acupuncturist |
| T4708 | TX | MD | Child & Adolescent Psychiatry Physician |
| BP10072954 | TX | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- jessie.bangs.1@8363.direct.athenahealth.com
Organizations & group practices 1
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": "1388793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1134540438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 MUELLER BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 MUELLER BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233051",
"telephone_number": "512-324-0101"
}
],
"practiceLocations": [
{
"address_1": "1501 Red River St Fl 2",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787121845",
"country_code": "US",
"telephone_number": "512-495-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANGS",
"first_name": "JESSIE",
"middle_name": "ALEXANDRA",
"name_prefix": "Dr.",
"credential": "MD, L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-04",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "TX",
"license": "AC01498",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "T4708",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10072954",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "T4708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.