Individual provider Active NPI

Stephen Berry

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1255903639
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1047117 Issued in TX
Practice address
4207 Burnet Rd
Austin, TX 78756-3316
Phone
(432) 530-3738
NPI assigned
Jul 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1047117 TX Primary
Adult Health Clinical Nurse Specialist 364SA2200X 1047117 TX

Addresses

Primary practice location

4207 Burnet Rd
Austin, TX 78756-3316

Mailing address

4501 Hilliard Rd
San Marcos, TX 78666-8601
Phone (432) 530-3738

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
I20210804002602 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 6406250042 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
1047117TXMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Aco Jason Martin Medical Consulting Nurse Practitioner CurrentSince Sep 25, 2025 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Jason Martin Medical Consulting LLC CurrentSince Jul 15, 2021 Accepting new patients
Jason Martin Medical Consulting LLC PastSince May 25, 2025 Accepting new patients

Locations

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

1373 N Avenue C
Elgin, TX 78621
Phone (512) 285-2457

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

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": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1255903639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 HILLIARD RD",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786668601",
            "telephone_number": "432-530-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 BURNET RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563316",
            "telephone_number": "432-530-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "STEPHEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1047117",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "1047117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.