Individual provider Active NPI

Yagya Bimali, APRN AGCNS-BC

  • Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1316609639
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1056947 Issued in TX
Practice address
4495 Wandering Vine TRL
Round Rock, TX 78665-1266
Phone
(512) 840-1158
NPI assigned
Oct 13, 2021
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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 1056947 TX Primary
Adult Health Clinical Nurse Specialist 364SA2200X 1056947 TX

Addresses

Primary practice location

4495 Wandering Vine TRL
Round Rock, TX 78665-1266

Mailing address

575 Vendemmia BND
Austin, TX 78738-1166
Phone (512) 777-5974

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
I20211130002266 TX Practitioner - Nurse Practitioner 4183012776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aco Jason Martin Medical ConsultingGroup PAC ID 6103327358, 28 clinicians

Practice addresses (Care Compare)

208 Bella Colinas Dr
Austin, TX 78738-7631
Phone (512) 840-1158

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Martin Medical Consulting LLC CurrentSince Jun 8, 2025 Accepting new patients
Sope LLC Current Accepting new patients
Jason Martin Medical Consulting LLC CurrentSince Oct 13, 2021 Accepting new patients
Aco Jason Martin Medical Consulting Nurse Practitioner CurrentSince Sep 25, 2025 Accepting new patients

Locations

5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141

1373 N Avenue C
Elgin, TX 78621
Phone (512) 285-2457

521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1316609639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 VENDEMMIA BND",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787381166",
            "telephone_number": "512-777-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 WANDERING VINE TRL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651266",
            "telephone_number": "512-840-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIMALI",
        "first_name": "YAGYA",
        "credential": "APRN AGCNS-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1056947",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "1056947",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.