Active NPI
Kristyn Z Magoon, PA-C
- Physician Assistant
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13033
- Practice address
- 4611 Guadalupe St Ste 200
Austin, TX 78751-2928 - Phone
- (512) 476-2830
- Fax
- (512) 476-2832
- NPI assigned
- Oct 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C000-5200 | MD | |
| Physician Assistant | 363A00000X | PA13033 | TX | Primary |
Addresses
Primary practice location
4611 Guadalupe St Ste 200
Austin, TX 78751-2928
Mailing address
4611 Guadalupe St Ste 200
Austin, TX 78751-2928
Phone (512) 476-2830
Other practice location 1
207 W Avenue E
Lampasas, TX 76550-1820
Phone (512) 476-2830
Other practice location 2
5329 Serene Hills Dr
Austin, TX 78738-1256
Phone (512) 476-2830
Other practice location 3
715 Discovery Blvd
Cedar Park, TX 78613-2287
Phone (512) 476-2830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4611 Guadalupe St
Austin, TX 78751-2999
Phone (512) 476-2830
4611 Guadalupe St
Suite 200
Austin, TX 78751-2928
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C000-5200 | MD | MD | Physician Assistant |
| PA13033 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heinrich-Josey Orthopaedics | Current | Accepting new patients | |
| Heinrich-Josey Orthopaedics, P.L.L.C | Current | Accepting new patients |
Locations
4611 Guadalupe St
Ste 200
Austin, TX 78751
Phone (512) 583-4220
715 Discovery Blvd
Cedar Park, TX 78613
207 W Avenue E
Lampasas, TX 76550
Phone (512) 556-3621
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Austin, TX
- NPI 1174571889
-
- Interventional Pain Medicine Physician
- Austin, TX
- NPI 1831410323
-
- Orthopaedic Surgery Physician
- Leander, TX
- NPI 1275330979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1275960460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 GUADALUPE ST STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787512928",
"telephone_number": "512-476-2830",
"fax_number": "512-476-2832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4611 GUADALUPE ST STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787512928",
"telephone_number": "512-476-2830",
"fax_number": "512-476-2832"
}
],
"practiceLocations": [
{
"address_1": "207 W Avenue E",
"address_purpose": "LOCATION",
"city": "Lampasas",
"state": "TX",
"postal_code": "765501820",
"country_code": "US",
"telephone_number": "512-476-2830",
"fax_number": "512-476-2832",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5329 Serene Hills Dr",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787381256",
"country_code": "US",
"telephone_number": "512-476-2830",
"fax_number": "512-476-2832",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "715 Discovery Blvd",
"address_purpose": "LOCATION",
"city": "Cedar Park",
"state": "TX",
"postal_code": "786132287",
"country_code": "US",
"telephone_number": "512-476-2830",
"fax_number": "512-476-2832",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGOON",
"first_name": "KRISTYN",
"middle_name": "Z",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C000-5200",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA13033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.