Individual provider Active NPI

Raymond H Moncivaiz, FNP C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1285214213
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1034335 Issued in TX
Practice address
7000 Woodhue Dr BLDG B
Austin, TX 78745-5454
Phone
(877) 800-5722
NPI assigned
Apr 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1034335 TX Primary

Addresses

Primary practice location

7000 Woodhue Dr BLDG B
Austin, TX 78745-5454

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Other practice location 1

2701 S Highway 183 Ste B
Leander, TX 78641-2366
Phone (512) 872-6868

Other practice location 2

1106 Clayton Ln Ste 102W
Austin, TX 78723-2433
Phone (512) 872-6868

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
I20240412002901 TX Practitioner - Nurse Practitioner 7517306343 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1034335TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care Family Medicine Current Accepting new patients
Lone Star Circle of Care CurrentSince Feb 17, 2025 Accepting new patients
Lone Star Circle of Care CurrentSince Feb 17, 2025 Accepting new patients
Lone Star Circle of Care Past Accepting new patients
Dr Jamie Rocky Salinas MD PA Family Medicine PastSince Apr 1, 2021 Accepting new patients

Locations

7000 Woodhue Dr
Bldg B
Austin, TX 78745

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

Interoperability endpoints

  • Direct secure messaging: raymond.moncivaiz.1@29821.direct.athenahealth.com

Organizations & group practices 5

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": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1285214213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283269",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 WOODHUE DR BLDG B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455454",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 S Highway 183 Ste B",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "786412366",
            "country_code": "US",
            "telephone_number": "512-872-6868",
            "fax_number": "877-370-4267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Clayton Ln Ste 102W",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787232433",
            "country_code": "US",
            "telephone_number": "512-872-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONCIVAIZ",
        "first_name": "RAYMOND",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "FNP C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1034335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.