NPIMap

Organization Active NPI

Lone Star Circle of Care

Doing business as Lone Star Circle of Care at Pflugerville

  • Federally Qualified Health Center (FQHC)
  • Pflugerville, TX
National Provider Identifier
1144815549
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LONE STAR CIRCLE OF CARE
Doing business as
Lone Star Circle of Care at Pflugerville
Practice address
1501 W Pecan St Ste 102
Pflugerville, TX 78660-2543
Phone
(877) 800-5722
NPI assigned
Mar 8, 2021
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Jonathan David Calvin
Title
Ceo
Phone
(512) 994-1933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1501 W Pecan St Ste 102
Pflugerville, TX 78660-2543

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Other names 1

  • Lone Star Circle of Care at Pflugerville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040622000184 TX Part B Supplier - Clinic/Group Practice 5193709392 Receives reassigned benefits from 181 practitioners
39 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Austin, TX; Taylor, TX; Round Rock, TX; Pflugerville, TX; Killeen, TX; Jonestown, TX; Hutto, TX; Harker Heights, TX…
O20210407003181 TX Part A Provider - Federally Qualified Health Center (FQHC) 5193709392 Practice locations: Pflugerville, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144815549. Details of each certification follow.

Federally qualified health center certification: CCN 451142

Legal name
LONE STAR CIRCLE OF CARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 7, 2021
Last certification
Apr 7, 2021
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Apr 21, 2001 in TX
Enrollment address
1501 W Pecan St
Ste 102
Pflugerville, TX 78660-2543

Other NPIs with the same Medicare PAC ID 22

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 22

Other NPIs on the same Medicare enrollment 39

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 39

National Provider Directory

National Provider Directory

Locations

11111 Research Blvd
Ste 320
Austin, TX 78759
Phone (512) 241-7200

1221 W Ben White Blvd
Ste B100
Austin, TX 78704
Phone (512) 442-1996

1221 W Ben White Blvd
Ste B100B200
Austin, TX 78704

2423 Williams Dr
Ste 113
Georgetown, TX 78628
Phone (512) 868-1124

1200 Binz St
Ste 270
Houston, TX 77004
Phone 8778005722 ext. 556

3950 N A W Grimes Blvd
Ste N202
Round Rock, TX 78665

3950 N A W Grimes Blvd
Ste N301A
Round Rock, TX 78665
Phone (512) 524-9274

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sasha Bulkley Individual Corporate DirectorBoard Member Dec 1, 2023
Lindsey Tippit Individual Corporate Officer Mar 1, 2019
Nichole J Cook Individual Corporate OfficerCfo Aug 5, 2024
Jo Carcedo Individual Corporate DirectorBoard Member Dec 1, 2024
Jack G Hunnicutt Individual Corporate Director Feb 1, 2003
Marc Scott Alarcon Individual Corporate Director Feb 19, 2009
Alton McCallum Individual Corporate DirectorBoard Member Jan 1, 2020
Steve Pena Individual Corporate Director Jan 1, 2015
Elizabeth Johnson Individual Corporate Director Jan 1, 2013
Rudolph Metayer Individual Corporate Director Jan 1, 2017
Kathleen V Butler Individual Corporate Officer Jun 1, 2014
W-2 Managing Employee Jun 1, 2014
Roland Valle Individual Corporate Director Jan 27, 2011
Mark Schroeder Individual Corporate Director Jan 1, 2017
John Gustainis Individual Corporate Director Jan 1, 2005
Jonathan D Calvin Individual Corporate Officer Dec 1, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1144815549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W PECAN ST STE 102",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602543",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR CIRCLE OF CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "CALVIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-994-1933"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Circle of Care at Pflugerville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lone Star Circle of Care at Pflugerville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.