Individual provider Active NPI

Nissa Rose Galvan, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Austin, TX
National Provider Identifier
1205407335
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1046956 Issued in TX
Practice address
1500 Red River St
Austin, TX 78701-1918
Phone
(512) 689-6824
NPI assigned
Jul 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1046956 TX Primary

Addresses

Primary practice location

1500 Red River St
Austin, TX 78701-1918

Mailing address

1345 Philomena St Ste 410.3
Austin, TX 78723-3210

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
I20220103001789 TX Practitioner - Nurse Practitioner 9739570698 Reassigns benefits to 3 organizations

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 Pulmonary Consultants PAGroup PAC ID 5496853129, 13 clinicians

Practice addresses (Care Compare)

5920 W William Cannon Dr
BLDG 1 Suite 150
Austin, TX 78749-1972
Phone (512) 441-9799

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1046956TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Sep 22, 2021 Accepting new patients
Seton Family of Doctors CurrentSince Sep 22, 2021 Accepting new patients
Usacs Critical Care Medicine Services of Texas, PLLC CurrentSince Jan 6, 2025 Accepting new patients
Austin Pulmonary Consultants PA CurrentSince Jun 1, 2025 Accepting new patients

Locations

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

5920 W William Cannon Dr
Ste 150
Austin, TX 78749
Phone (512) 441-9799

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

5920 W William Cannon Dr
Bldg 1
Austin, TX 78749
Phone (512) 302-4773

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

5920 W William Cannon Dr
Ste 1-150
Austin, TX 78749
Phone (512) 441-9799

3600 W Parmer Ln
Ste 106
Austin, TX 78727
Phone (512) 441-9799

1345 Philomena St
Ste 4103
Austin, TX 78723

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1205407335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 PHILOMENA ST STE 410.3",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 RED RIVER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011918",
            "telephone_number": "512-689-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVAN",
        "first_name": "NISSA",
        "middle_name": "ROSE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1046956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.