Individual provider Active NPI

Jeanne Elizabeth Hicks, APRN, AGCNS-BC, LAC

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1154692176
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP134746 Issued in TX
Practice address
711 W 38TH St Ste G2
Austin, TX 78705-1134
Phone
(512) 824-0152
NPI assigned
Jan 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00718 TX
Adult Health Clinical Nurse Specialist 364SA2200X AP134746 TX
Nurse Practitioner 363L00000X AP134746 TX Primary

Addresses

Primary practice location

711 W 38TH St Ste G2
Austin, TX 78705-1134

Mailing address

1117 San Augustine Dr
Austin, TX 78733-2564
Phone (512) 263-5247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180201000041 TX Practitioner - Nurse Practitioner 9436419934 Reassigns benefits to 4 organizations
I20231229002322 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 9436419934 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC00718TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Nov 27, 2023 Accepting new patients
Seton Family of Doctors CurrentSince Nov 27, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Nurse Practitioner CurrentSince Nov 1, 2020 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc CurrentSince Oct 1, 2018 Accepting new patients
Longhorn Emergency Medical Associates PA Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Current Accepting new patients
Sound Inpatient Physicians of Texas I, Inc CurrentSince Oct 1, 2018 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Nurse Practitioner CurrentSince Aug 1, 2021 Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 8

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": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1154692176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 SAN AUGUSTINE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787332564",
            "telephone_number": "512-263-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST STE G2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051134",
            "telephone_number": "512-824-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JEANNE",
        "middle_name": "ELIZABETH",
        "credential": "APRN, AGCNS-BC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00718",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "AP134746",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.