Individual provider Active NPI

Aaron Jones Cummins, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1225489529
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1011818 Issued in TX
Practice address
5424 W Highway 290 Ste 108
Austin, TX 78735-8827
Phone
(432) 638-9059
NPI assigned
Jun 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 58061 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1011818 TX Primary

Addresses

Primary practice location

5424 W Highway 290 Ste 108
Austin, TX 78735-8827

Mailing address

2203 Laramie TRL
Austin, TX 78745-2843
Phone (432) 638-9059

Other practice location 1

5006 Emerald Forest Cir
Austin, TX 78745-2116
Phone (432) 638-9059

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
I20210209001905 TX Practitioner - Nurse Practitioner 1052726809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andala Medical Texas PAGroup PAC ID 7416330436, 10 clinicians

Practice addresses (Care Compare)

4600 Lockhill Selma Rd
Suite 108
San Antonio, TX 78249-2186
Phone (833) 426-3252

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58061TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Andala Medical Texas PA CurrentSince Jan 1, 2023 Accepting new patients
Greater Austin Psychiatry & Wellness PLLC Psychiatric/Mental Health PastSince Sep 6, 2020 Accepting new patients
Andala Medical Texas PA Past Accepting new patients

Locations

4600 Lockhill Selma Rd
Ste 108
San Antonio, TX 78249
Phone (210) 783-0582

Interoperability endpoints

  • Direct secure messaging: aaron.cummins.1@25241.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1225489529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 LARAMIE TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787452843",
            "telephone_number": "432-638-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 W HIGHWAY 290 STE 108",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358827",
            "telephone_number": "432-638-9059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5006 Emerald Forest Cir",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787452116",
            "country_code": "US",
            "telephone_number": "432-638-9059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "AARON",
        "middle_name": "JONES",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58061",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1011818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.