Individual provider Active NPI

Jessica Long Darnutzer, APRN, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1245627140
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128401 Issued in TX
Practice address
6818 Austin Center Blvd Ste 205
Austin, TX 78731-3100
Phone
(512) 344-0450
Fax
(512) 406-7318
NPI assigned
Apr 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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 AP128401 TX Primary

Addresses

Primary practice location

6818 Austin Center Blvd Ste 205
Austin, TX 78731-3100

Mailing address

6210 E Highway 290 Ste 420
Austin, TX 78723-1142
Phone (512) 483-9569

Other identifiers 2

IdentifierTypeStateIssuer
380744802MedicaidTX
380744803MedicaidTX

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
I20180215001508 TX Practitioner - Nurse Practitioner 1557621364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

Practice addresses (Care Compare)

6811 Austin Ctr Blvd
Suite 300
Austin, TX 78731-3295
Phone (512) 421-4424

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Regional Clinic, PA CurrentSince Oct 7, 2019 Accepting new patients
Seton Family of Doctors CurrentSince Feb 28, 2018 Accepting new patients
Seton Family of Doctors CurrentSince Feb 28, 2018 Accepting new patients
Austin Regional Clinic, PA CurrentSince Oct 7, 2019 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

6811 Austin Center Blvd
Ste 300
Austin, TX 78731
Phone (512) 346-8888

6210 E Highway 290
Ste 420
Austin, TX 78723
Phone (512) 338-3802

6818 Austin Center Blvd
Ste 205
Austin, TX 78731
Phone (512) 344-0450

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

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

940 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 244-9024

Interoperability endpoints

  • Direct secure messaging: jdarnutzer23528@arcmd.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1245627140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E HIGHWAY 290 STE 420",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231142",
            "telephone_number": "512-483-9569",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 AUSTIN CENTER BLVD STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313100",
            "telephone_number": "512-344-0450",
            "fax_number": "512-406-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARNUTZER",
        "first_name": "JESSICA",
        "middle_name": "LONG",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380744802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380744803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.