Individual provider Active NPI

Anyssa Trejo, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1306675582
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1169479 Issued in TX
Practice address
700 SE Inner Loop
Georgetown, TX 78626-7700
Phone
(512) 819-9400
NPI assigned
Jul 29, 2024
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1169479 TX Primary

Addresses

Primary practice location

700 SE Inner Loop
Georgetown, TX 78626-7700

Mailing address

12302 Abney Dr Apt D
Austin, TX 78729-4834
Phone (915) 588-6333

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
I20240919003955 TX Practitioner - Nurse Practitioner 8820539620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

3626 Williams Dr
Suite 100
Georgetown, TX 78628-4092
Phone (888) 374-5066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1169479TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Springs Physician Group LLC Psychiatric/Mental Health CurrentSince Aug 29, 2024 Accepting new patients
Family Care Center LLC, CurrentSince Jul 28, 2025 Accepting new patients
Family Care Center, LLC Psychiatric/Mental Health CurrentSince Jul 28, 2025 Accepting new patients

Locations

1335 E Whitestone Blvd
#200
Cedar Park, TX 78613
Phone (512) 819-9400

3626 Williams Dr
Ste 100
Georgetown, TX 78628
Phone (512) 643-0659

700 SE Inner Loop
Georgetown, TX 78626
Phone (512) 351-8769

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

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, 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": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1306675582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12302 ABNEY DR APT D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787294834",
            "telephone_number": "915-588-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SE INNER LOOP",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267700",
            "telephone_number": "512-819-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREJO",
        "first_name": "ANYSSA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1169479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.