Individual provider Active NPI

Jarrod Paul Hertzler, CNP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1174194062
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1054584 Issued in TX
Practice address
408 W 45TH St
Austin, TX 78751-3014
Phone
(512) 320-1500
Fax
(512) 459-1399
NPI assigned
Jul 1, 2021
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0029168 OH
Family Nurse Practitioner 363LF0000X 1054584 TX Primary

Addresses

Primary practice location

408 W 45TH St
Austin, TX 78751-3014

Mailing address

300 E Highland Mall Blvd Ste 1a
Austin, TX 78752-3746
Phone (512) 320-1500

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
I20230706003313 TX Practitioner - Nurse Practitioner 5496152324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Kidney Associates PAGroup PAC ID 1658511217, 33 clinicians

Practice addresses (Care Compare)

408 W 45TH St
Austin, TX 78751-3014
Phone (512) 451-5800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1054584TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Kidney Associates PA CurrentSince Mar 2, 2023 Accepting new patients
Austin Kidney Associates, P. a. CurrentSince Mar 2, 2023 Accepting new patients
Morrison and Ahmad, MD's, Inc. PastSince Sep 13, 2021 Accepting new patients

Locations

300 E Highland Mall Blvd
Ste 1A
Austin, TX 78752
Phone (512) 451-5800

321 W Ben White Blvd
Ste 205
Austin, TX 78704
Phone (512) 451-5800

408 W 45th St
Austin, TX 78751
Phone (512) 451-5800

8620 Burnet Rd
Ste 40
Austin, TX 78757
Phone (512) 334-1810

16010 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 275-0100

Interoperability endpoints

  • Direct secure messaging: jhertzler39587@direct.davitaphysiciansolutions.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1174194062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E HIGHLAND MALL BLVD STE 1A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523746",
            "telephone_number": "512-320-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513014",
            "telephone_number": "512-320-1500",
            "fax_number": "512-459-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZLER",
        "first_name": "JARROD",
        "middle_name": "PAUL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029168",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1054584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.