Individual provider Active NPI

Krista N Pasquale, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1215633508
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1110294 Issued in TX
Practice address
6101 W Courtyard Dr Ste 2-225
Austin, TX 78730-5044
Phone
(512) 956-5003
Fax
(512) 233-0553
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1110294 TX Primary

Addresses

Primary practice location

6101 W Courtyard Dr Ste 2-225
Austin, TX 78730-5044

Mailing address

414 Willow Grove Dr
San Antonio, TX 78245-2775
Phone (210) 454-2844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 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
I20231219001528 TX Practitioner - Nurse Practitioner 2264882109 Reassigns benefits to 2 organizations
I20250226003830 FL Practitioner - Nurse Practitioner 2264882109

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
US Televero Health PAGroup PAC ID 7911318241, 37 clinicians

Practice addresses (Care Compare)

6101 W Courtyard Dr
Suite 2 225
Austin, TX 78730-5044
Phone (512) 956-5003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1110294TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
US Televero Health PA Psychiatric/Mental Health CurrentSince May 7, 2024 Accepting new patients
Heal Well Primary Care PC CurrentSince Nov 9, 2023 Accepting new patients
Hillside Primary Care PLLC CurrentSince Nov 9, 2023 Accepting new patients
Mindful Roots Wellness PLLC Psychiatric/Mental Health CurrentSince Feb 1, 2023 Accepting new patients

Locations

6101 W Courtyard Dr
Ste 2-225
Austin, TX 78730
Phone (877) 474-0155

12410 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 659-4425

12881 Toepperwein Rd
#I35
Live Oak, TX 78233

12410 Toepperwein Rd
#O
Live Oak, TX 78233
Phone (210) 659-4425

3710 Roosevelt Ave
San Antonio, TX 78214

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.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1215633508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 WILLOW GROVE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452775",
            "telephone_number": "210-454-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 W COURTYARD DR STE 2-225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787305044",
            "telephone_number": "512-956-5003",
            "fax_number": "512-233-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUALE",
        "first_name": "KRISTA",
        "middle_name": "N",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1110294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.