Individual provider Active NPI

Deanna Mendoza, APRN, FNP-C

  • Family Nurse Practitioner
  • Hutto, TX
National Provider Identifier
1407368772
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135626 Issued in TX
Practice address
151 Exchange Blvd Ste 500
Hutto, TX 78634-5381
Phone
(512) 846-1244
Fax
(512) 406-7324
NPI assigned
Oct 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 AP135626 TX Primary

Addresses

Primary practice location

151 Exchange Blvd Ste 500
Hutto, TX 78634-5381

Mailing address

6210 E Hwy 290
Austin, TX 78723-1142
Phone (512) 483-9596

Other practice location 1

3721 Williams Dr
Georgetown, TX 78628-2401
Phone (512) 869-7310

Other practice location 2

1015 E 32nd St
Austin, TX 78705-2707
Phone (512) 279-0990

Other names 1

  • Deanna Potts 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
I20171213002292 TX Practitioner - Nurse Practitioner 7416215884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

Practice addresses (Care Compare)

151 Exchange Blvd
500 Arc Hutto
Hutto, TX 78634-5381
Phone (512) 846-1244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP135626TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Regional Clinic, PA CurrentSince Oct 3, 2023 Accepting new patients
Austin Regional Clinic, PA CurrentSince Oct 3, 2023 Accepting new patients

Locations

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

6210 E Highway 290
Austin, TX 78723

3801 N Lamar Blvd
#300
Austin, TX 78756
Phone (512) 206-3600

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

Interoperability endpoints

  • Direct secure messaging: deanna.potts.1@8363.direct.athenahealth.com
  • Direct secure messaging: dpottsmendoza28458@arcmd.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": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1407368772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E HWY 290",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231142",
            "telephone_number": "512-483-9596",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 EXCHANGE BLVD STE 500",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345381",
            "telephone_number": "512-846-1244",
            "fax_number": "512-406-7324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3721 Williams Dr",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786282401",
            "country_code": "US",
            "telephone_number": "512-869-7310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787052707",
            "country_code": "US",
            "telephone_number": "512-279-0990",
            "fax_number": "512-407-1433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "DEANNA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "POTTS",
            "credential": "APRN,FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hutto, TX

Sources for this page

Verify at the official NPI Registry.