Individual provider Active NPI

Mary Jane Berry, NP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1215438452
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136651 Issued in TX
Practice address
901 W 38TH St Ste 200
Austin, TX 78705-1165
Phone
(512) 421-4100
Fax
(512) 451-7380
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136651 TX Primary

Addresses

Primary practice location

901 W 38TH St Ste 200
Austin, TX 78705-1165

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

901 W 38th St Ste 200
Austin, TX 78705-1165
Phone (512) 421-4100

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
I20180321002627 TX Practitioner - Nurse Practitioner 0547522062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

901 W 38TH St
Suite 200
Austin, TX 78705-1165
Phone (512) 421-4100

Hospital & facility affiliations

  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Feb 19, 2018 Accepting new patients
Texas Oncology PA CurrentSince Feb 19, 2018 Accepting new patients

Locations

12221 Renfert Way
Ste 120
Austin, TX 78758
Phone (512) 873-8900

12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900

901 W 38th St
Ste 200
Austin, TX 78705
Phone (512) 421-4100

4101 James Casey St
Ste 340
Austin, TX 78745
Phone (512) 443-5954

901 W 38th St
Ste 300
Austin, TX 78705
Phone (512) 421-4100

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

2410 Round Rock Ave
Ste 150
Round Rock, TX 78681
Phone (512) 341-8724

Interoperability endpoints

  • Direct secure messaging: maryjane.berry@txo.ikm.direct-ci.com

Organizations & group practices 2

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 1

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": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1215438452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W 38TH ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051165",
            "telephone_number": "512-421-4100",
            "fax_number": "512-451-7380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 W 38th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051165",
            "country_code": "US",
            "telephone_number": "512-421-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "MARY",
        "middle_name": "JANE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.