NPIMap

Lone Star Circle of Care

Organization Active NPI Federally Qualified Health Center (FQHC) · Pflugerville, TX

NPI 1144815549 · NPPES record last updated May 6, 2025

Key facts

NPI
1144815549
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
LONE STAR CIRCLE OF CARE
Practice address
1501 W Pecan St Ste 102
Pflugerville, TX 78660-2543
Phone
(877) 800-5722
NPI assigned
Mar 8, 2021
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 1

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

Other NPIs on the same Medicare enrollment 39

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

View all 39

Other NPIs with the same Medicare PAC ID 22

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

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TX

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
Other · Non-profit
Incorporated
Apr 21, 2001 in TX
Enrollment address
1501 W Pecan St
Ste 102
Pflugerville, TX 78660-2543

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 Director
Board Member		 Dec 1, 2023
Lindsey Tippit
Individual 		Corporate Officer Mar 1, 2019
Nichole J Cook
Individual 		Corporate Officer
Cfo		 Aug 5, 2024
Jo Carcedo
Individual 		Corporate Director
Board 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 Director
Board 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

Medicare enrollment records

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

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

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

18220 FM 1431
Ste D
Leander, TX 78641
Phone 512686020710211

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

Specialties & licenses

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

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

  • Lone Star Circle of Care at Pflugerville Doing business as

Other providers in Pflugerville, TX

All providers in Pflugerville, TX · Federally Qualified Health Center (FQHC) in Texas

Sources for this page

Verify at the official NPI Registry.