Individual provider Active NPI

Nicole Zenon, NP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1497137731
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128356 Issued in TX
Practice address
4106 Medical Pkwy
Austin, TX 78756-3722
Phone
(512) 418-1979
Fax
(512) 418-1943
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 AP128356 TX Primary

Addresses

Primary practice location

4106 Medical Pkwy
Austin, TX 78756-3722

Mailing address

4106 Medical Pkwy
Austin, TX 78756-3722
Phone (512) 418-1979

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicole.zenon.1@1570.direct.athenahealth.com

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
I20151005002627 TX Practitioner - Nurse Practitioner 2567770969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

4106 Medical Pkwy
Austin, TX 78756-3722
Phone (512) 322-9292

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP128356TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Jun 10, 2024 Accepting new patients
Texas Oncology PA CurrentSince Jun 10, 2024 Accepting new patients
Timberland Medical Group Family CurrentSince Sep 1, 2015 Accepting new patients
Timberland Medical Group CurrentSince Sep 1, 2015 Accepting new patients
Texas Oncology PA Current Accepting new patients

Locations

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

4106 Medical Pkwy
Austin, TX 78756
Phone (512) 418-1979

450 Cypress Creek Rd
Bldg 5
Cedar Park, TX 78613
Phone (512) 249-1400

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

2410 Round Rock Ave
Ste 150
Round Rock, TX 78681
Phone (512) 341-8724

Interoperability endpoints

  • Direct secure messaging: nicole.zenon.1@421.direct.athenahealth.com

Organizations & group practices 5

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1497137731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 MEDICAL PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563722",
            "telephone_number": "512-418-1979",
            "fax_number": "512-418-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 MEDICAL PKWY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563722",
            "telephone_number": "512-418-1979",
            "fax_number": "512-418-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENON",
        "first_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.zenon.1@1570.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4106 Medical Pkwy",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787563722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.