Individual provider Active NPI

Morgan Olivia Gustin, MSPA, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1447876511
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13705 Issued in TX
Practice address
2217 Park Bend Dr Ste 300
Austin, TX 78758-5674
Phone
(512) 382-1933
NPI assigned
Jun 24, 2020
Last updated
Feb 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13705 TX Primary

Addresses

Primary practice location

2217 Park Bend Dr Ste 300
Austin, TX 78758-5674

Mailing address

13225 Roadster Dr
Frisco, TX 75033-1660
Phone (469) 815-3511

Other names 1

  • Morgan Olivia Carey 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
I20210818004213 TX Practitioner - Physician Assistant 7810392552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Carenow Urgent Care PLLCGroup PAC ID 4284918418, 101 clinicians

Practice addresses (Care Compare)

10001 Research Blvd
Suite 100
Austin, TX 78759-5800
Phone (512) 993-3270

10625 W Parmer LN
Suite D400
Austin, TX 78717-4016
Phone (512) 361-6085

14008 Shadowglen Blvd
Suite 100
Manor, TX 78653-3406
Phone (512) 514-1020

4810 Gattis School Rd
Suite 100
Hutto, TX 78634-2037
Phone (512) 312-7230

5033 W Hwy 290
Carenow
Austin, TX 78735-6751
Phone (512) 265-8980

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA13705TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neha Reshamwala MD PA CurrentSince Feb 24, 2022 Accepting new patients

Locations

2217 Park Bend Dr
Ste 300
Austin, TX 78758
Phone (512) 382-1933

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1447876511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 ROADSTER DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331660",
            "telephone_number": "469-815-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 PARK BEND DR STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585674",
            "telephone_number": "512-382-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTIN",
        "first_name": "MORGAN",
        "middle_name": "OLIVIA",
        "credential": "MSPA, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "CAREY",
            "middle_name": "OLIVIA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.