Active NPI
Rosemarie Chavez, PA-C
- Physician Assistant
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11918
- Practice address
- 250 University Blvd
Round Rock, TX 78665-1044 - Phone
- (512) 869-8500
- NPI assigned
- Jan 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11918 | TX | Primary |
Addresses
Primary practice location
250 University Blvd
Round Rock, TX 78665-1044
Mailing address
345 Cypress Creek Rd
Ste 104
Cedar Park, TX 78613-4484
Phone (512) 336-2777
Other practice location 1
12410 Alameda Trace Cir Apt 1418
Austin, TX 78727-6493
Phone (915) 346-9415
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
551 S I-35 Frontage Rd
Suite 200
Round Rock, TX 78664
Phone (888) 374-5066
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA11918 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rediclinic Austin, LLC | Current | Accepting new patients |
Locations
500 Canyon Ridge Dr
Austin, TX 78753
Phone (512) 836-9000
170 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 259-5755
250 University Blvd
Round Rock, TX 78665
Phone (512) 358-1397
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Rock, TX
- NPI 1427786482
-
- Clinic/Center
- Austin, TX
- NPI 1235594821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1508320573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 CYPRESS CREEK RD",
"address_2": "STE 104",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134484",
"telephone_number": "512-336-2777",
"fax_number": "512-336-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 UNIVERSITY BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651044",
"telephone_number": "512-869-8500"
}
],
"practiceLocations": [
{
"address_1": "12410 Alameda Trace Cir Apt 1418",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787276493",
"country_code": "US",
"telephone_number": "915-346-9415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAVEZ",
"first_name": "ROSEMARIE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA11918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.