Individual provider Active NPI

Hanna-Rose Isabella Hix, PA-C

  • Physician Assistant
  • Lakeway, TX
National Provider Identifier
1225908940
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
797084 Issued in TX
Practice address
101 Medical Pkwy Ste 220
Lakeway, TX 78738-5649
Phone
(512) 814-1984
NPI assigned
Nov 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 797084 TX Primary

Addresses

Primary practice location

101 Medical Pkwy Ste 220
Lakeway, TX 78738-5649

Mailing address

3201 Duval Rd Apt 311
Austin, TX 78759-5414
Phone (972) 824-8286

Other names 1

  • Hanna-Rose Lacy 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
I20251205003697 TX Practitioner - Physician Assistant 6608369780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Austin Family Practice Clinic, PLLCGroup PAC ID 3678564358, 64 clinicians

Practice addresses (Care Compare)

101 Medical Pkwy
Lakeway, TX 78738-5646
Phone (512) 358-8180

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
797084TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Austin Family Practice Clinic, PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

5625 Eiger Rd
Ste 2
Austin, TX 78735

5625 Eiger Rd
Ste 200
Austin, TX 78735

101 Medical Pkwy
Ste 220
Lakeway, TX 78738
Phone (512) 504-7411

101 Medical Pkwy
Ste 210
Lakeway, TX 78738
Phone (512) 358-8180

Organizations & group practices 1

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": "1762473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1225908940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 DUVAL RD APT 311",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595414",
            "telephone_number": "972-824-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL PKWY STE 220",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787385649",
            "telephone_number": "512-814-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIX",
        "first_name": "HANNA-ROSE",
        "middle_name": "ISABELLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "797084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNA-ROSE",
            "last_name": "LACY",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.