Individual provider Active NPI

Kristyn Z Magoon, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1275960460
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13033 Issued in TX
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

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140813001675 MD Practitioner - Physician Assistant 7911124086
I20191101001673 TX Practitioner - Physician Assistant 7911124086 Reassigns benefits to 2 organizations

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
Heinrich-Josey Orthopaedics, PLLCGroup PAC ID 1850362211, 22 clinicians

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

LicenseStateTypeSpecialty
C000-5200MDMDPhysician Assistant
PA13033TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heinrich-Josey Orthopaedics CurrentSince Jul 20, 2022 Accepting new patients
Heinrich-Josey Orthopaedics, P.L.L.C CurrentSince Jul 20, 2022 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.

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

Verify at the official NPI Registry.