Individual provider Active NPI

Mandy Beth Cameron

  • Family Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1265927412
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137848 Issued in TX
Practice address
301 Hesters Crossing Rd Ste 140
Round Rock, TX 78681-6914
Phone
(512) 876-8665
Fax
(980) 500-1427
NPI assigned
Jun 28, 2018
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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 AP137848 TX
Family Nurse Practitioner 363LF0000X AP137848 TX Primary

Addresses

Primary practice location

301 Hesters Crossing Rd Ste 140
Round Rock, TX 78681-6914

Mailing address

301 Hesters Crossing Rd Ste 140
Round Rock, TX 78681-6914
Phone (512) 876-8665

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
I20180807000150 TX Practitioner - Nurse Practitioner 8123376225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nluc PLLCGroup PAC ID 3072752302, 219 clinicians
Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians

Practice addresses (Care Compare)

16312 Southwest Fwy
Sugar Land, TX 77479-2371
Phone (281) 783-8162

3221 Red River St
Austin, TX 78705-2612
Phone (281) 783-8162

5004 Gattis School Rd
Suite 260
Hutto, TX 78634-2032
Phone (512) 229-1534

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137848TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Aug 15, 2022 Accepting new patients
Nluc PLLC CurrentSince Aug 15, 2022 Accepting new patients
Nluc PLLC Current Accepting new patients
Total MD Physicians Group, PLLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

14900 N Interstate 35
Unit 100
Austin, TX 78728

4301 W William Cannon Dr
#300
Austin, TX 78749
Phone (512) 222-8868

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

2200 W University Dr
Ste 150
Denton, TX 76201
Phone (940) 304-0189

1720 S Friendswood Dr
Ste 108
Friendswood, TX 77546
Phone (281) 407-8020

5004 Gattis School Rd
Ste 260
Hutto, TX 78634
Phone (512) 229-1534

2014 W University Dr
Ste 330
McKinney, TX 75071
Phone (972) 645-5107

8528 Davis Blvd
Ste 150
North Richland Hills, TX 76182
Phone (817) 242-2630

234 W Campbell Rd
Richardson, TX 75080
Phone (972) 474-3221

603 Louis Henna Blvd
Ste B140
Round Rock, TX 78664
Phone (512) 200-2269

2175 E Southlake Blvd
Ste 120
Southlake, TX 76092
Phone (817) 813-2700

2174 Spring Stuebner Rd
Spring, TX 77389
Phone (281) 697-4649

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Interoperability endpoints

  • Direct secure messaging: mandy.cameron.1@16277.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1265927412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HESTERS CROSSING RD STE 140",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816914",
            "telephone_number": "512-876-8665",
            "fax_number": "980-500-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HESTERS CROSSING RD STE 140",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786816914",
            "telephone_number": "512-876-8665",
            "fax_number": "980-500-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "MANDY",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP137848",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.