Individual provider Active NPI

Bronta Lenise Wegesa, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1245872670
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143275 Issued in TX
Practice address
2200 Park Bend Dr Ste 300
Austin, TX 78758-5386
Phone
(512) 994-4159
Fax
(512) 793-9783
NPI assigned
Oct 17, 2019
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 AP143275 TX Primary

Addresses

Primary practice location

2200 Park Bend Dr Ste 300
Austin, TX 78758-5386

Mailing address

2200 Park Bend Dr Ste 300
Austin, TX 78758-5386
Phone (512) 994-4159

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
I20211209000573 TX Practitioner - Nurse Practitioner 8426448259 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

Practice addresses (Care Compare)

15803 Windermere Dr
103 Arc Pflugerville
Pflugerville, TX 78660-2482
Phone (512) 989-2680

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Feb 6, 2024 Accepting new patients
Pain Control of Texas PLLC CurrentSince Aug 1, 2023 Accepting new patients
Austin Regional Clinic, PA CurrentSince Dec 16, 2021 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Feb 6, 2024 Accepting new patients
Pain Control of Texas PLLC CurrentSince Aug 1, 2023 Accepting new patients
Austin Regional Clinic, PA CurrentSince Dec 16, 2021 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. Current Accepting new patients
Texas Pain Professionals, PLLC Past Accepting new patients

Locations

2200 Park Bend Dr
Ste 300
Austin, TX 78758
Phone (512) 371-6398

6210 E Highway 290
Austin, TX 78723

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

9010 Brodie Ln
Bldg B
Austin, TX 78748
Phone (512) 371-6398

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

3202 S W S Young Dr
Ste 102
Killeen, TX 76542
Phone (254) 221-8515

2810 Dacy Ln
Kyle, TX 78640
Phone (512) 268-8900

4100 Everett
Ste 400
Kyle, TX 78640
Phone (512) 295-1333

15803 Windermere Dr
Ste 103
Pflugerville, TX 78660
Phone (512) 989-2680

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

1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513

14625 Huebner Rd
San Antonio, TX 78230

3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062

Interoperability endpoints

  • Direct secure messaging: bwegesa15635@arcmd.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1245872670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585386",
            "telephone_number": "512-994-4159",
            "fax_number": "512-793-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK BEND DR STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585386",
            "telephone_number": "512-994-4159",
            "fax_number": "512-793-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGESA",
        "first_name": "BRONTA",
        "middle_name": "LENISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.