Individual provider Active NPI

Colleen Carrera Adkins, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1346690856
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10605 Issued in TX
Practice address
901 W 38TH St Ste 300
Austin, TX 78705-1166
Phone
(512) 421-4100
Fax
(512) 451-7380
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 PA10605 TX Primary
Medical Physician Assistant 363AM0700X 5772 CO

Addresses

Primary practice location

901 W 38TH St Ste 300
Austin, TX 78705-1166

Mailing address

PO Box 911230
Dallas, TX 75391-1242
Phone (972) 997-8000

Other identifiers 2

IdentifierTypeStateIssuer
394904202MedicaidTX
394904203MedicaidTX

Other names 1

  • Colleen Carrera Former name

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
I20210812001059 TX Practitioner - Physician Assistant 6002143039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

104 Max Starcke Dam Rd
Marble Falls, TX 78654-2100
Phone (830) 798-0149

12221 Renfert Way
Suite 300
Austin, TX 78758-5453
Phone (512) 873-8900

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456

6204 Balcones Dr
Austin, TX 78731-4214
Phone (512) 427-9400

7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313

901 W 38TH St
Suite 200
Austin, TX 78705-1165
Phone (512) 421-4100

PO Box
Suite 911242
Dallas, TX 75391-1242

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10605TXMDPhysician Assistant
5772COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Aug 2, 2021 Accepting new patients
Texas Oncology PA Past Accepting new patients

Locations

12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900

901 W 38th St
Ste 200
Austin, TX 78705
Phone (512) 421-4100

901 W 38th St
Ste 300
Austin, TX 78705
Phone (512) 421-4100

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

Interoperability endpoints

  • Direct secure messaging: colleen.carrera@txo.ikm.direct-ci.com

Organizations & group practices 2

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1346690856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911242",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W 38TH ST STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051166",
            "telephone_number": "512-421-4100",
            "fax_number": "512-451-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "COLLEEN",
        "middle_name": "CARRERA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10605",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "5772",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394904202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394904203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "CARRERA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.