Individual provider Active NPI

Elizabeth Martin Cross, RN, PNP-BC

  • Pediatric Nurse Practitioner
  • Austin, TX
National Provider Identifier
1215217906
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP120043 Issued in TX
Practice address
7940 Shoal Creek Blvd Ste 100
Austin, TX 78757-7589
Phone
(512) 494-4000
Fax
(512) 494-4024
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 120043 TX
Pediatric Nurse Practitioner 363LP0200X AP120043 TX Primary

Addresses

Primary practice location

7940 Shoal Creek Blvd Ste 100
Austin, TX 78757-7589

Mailing address

7940 Shoal Creek Blvd Ste 100
Austin, TX 78757-7589
Phone (512) 494-4000

Other practice location 1

5301 Davis Ln Bldg A200
Austin, TX 78749-4062
Phone (512) 494-4000

Other names 1

  • Elizabeth Martin Cross Jakesch Other name

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
I20120523000544 TX Practitioner - Nurse Practitioner 1456514702 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP120043TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. CurrentSince Jul 31, 2021 Accepting new patients
Central Texas Subspecialists for Children PLLC Current Accepting new patients
Pediatric Surgical Subspecialists Past Accepting new patients

Locations

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

1301 Barbara Jordan Blvd
Ste 307
Austin, TX 78723
Phone (512) 324-0907

7940 Shoal Creek Blvd
Ste 100
Austin, TX 78757
Phone (512) 494-4000

6811 Austin Center Blvd
Ste 400
Austin, TX 78731
Phone (512) 628-1840

5301 Davis Ln
Bldg A200
Austin, TX 78749
Phone (512) 494-4000

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

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

1301 Medical Pkwy
Ste 300
Cedar Park, TX 78613
Phone (512) 494-4000

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

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

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Interoperability endpoints

  • Direct secure messaging: elizabeth.cross.1@13029.direct.athenahealth.com

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, 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": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1215217906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 SHOAL CREEK BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577589",
            "telephone_number": "512-494-4000",
            "fax_number": "512-494-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 SHOAL CREEK BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577589",
            "telephone_number": "512-494-4000",
            "fax_number": "512-494-4024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Davis Ln Bldg A200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787494062",
            "country_code": "US",
            "telephone_number": "512-494-4000",
            "fax_number": "512-494-4090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS",
        "first_name": "ELIZABETH",
        "middle_name": "MARTIN",
        "credential": "RN, PNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "120043",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP120043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "JAKESCH",
            "middle_name": "MARTIN CROSS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.