Individual provider Active NPI

Amanda Rosenauer, CFNP

  • Nurse Practitioner
  • La Grange, TX
National Provider Identifier
1265873251
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
764118 Issued in TX
Practice address
1253 N Von Minden St
La Grange, TX 78945-1262
Phone
(979) 968-8493
Fax
(979) 968-6388
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 764118 TX
Nurse Practitioner 363L00000X 764118 TX Primary
Family Nurse Practitioner 363LF0000X 764118 TX

Addresses

Primary practice location

1253 N Von Minden St
La Grange, TX 78945-1262

Mailing address

1253 N Von Minden St
La Grange, TX 78945-1262
Phone (979) 968-8493

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
I20130913000038 TX Practitioner - Nurse Practitioner 7315181344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LGFM PLLCGroup PAC ID 5395075238, 5 clinicians
McBroom Clinic PAGroup PAC ID 5890893119, 8 clinicians

Practice addresses (Care Compare)

1253 N Von Minden St
La Grange, TX 78945-1262
Phone (979) 968-8493

1253 N Vonminden
La Grange, TX 78945
Phone (979) 968-8493

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
764118TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LGFM PLLC Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
McBroom Clinic PA Family Medicine CurrentSince Jul 1, 2013 Accepting new patients

Locations

230 W Main St N
Flatonia, TX 78941
Phone (361) 865-3302

1253 N Von Minden St
La Grange, TX 78945
Phone (979) 968-8493

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19983/brand/1/csg/1/fhir/r4
  • Direct secure messaging: amanda.rosenauer.1@19983.direct.athenahealth.com
  • Direct secure messaging: smmarosen@yourcarecommunity.org

Organizations & group practices 2

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 4

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": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1265873251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 N VON MINDEN ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451262",
            "telephone_number": "979-968-8493",
            "fax_number": "979-968-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 N VON MINDEN ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451262",
            "telephone_number": "979-968-8493",
            "fax_number": "979-968-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENAUER",
        "first_name": "AMANDA",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "764118",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "764118",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "764118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, TX

Sources for this page

Verify at the official NPI Registry.