Individual provider Active NPI

Rebecca Eileen Nycz, FNP

  • Family Nurse Practitioner
  • Wimberley, TX
National Provider Identifier
1508437948
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1046846 Issued in TX
Practice address
555 Ranch Road 3237
Wimberley, TX 78676-5311
Phone
(512) 847-5540
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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 1046846 TX Primary

Addresses

Primary practice location

555 Ranch Road 3237
Wimberley, TX 78676-5311

Mailing address

12731 Research Blvd Ste B200
Austin, TX 78759-4387
Phone (512) 477-4088

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
I20210819000483 TX Practitioner - Nurse Practitioner 6406251164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Geriatric Specialists PLLCGroup PAC ID 5092770511, 59 clinicians

Practice addresses (Care Compare)

1108 Lavaca St
Suite 110 320
Austin, TX 78701-2172
Phone (512) 477-4088

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Geriatric Specialists, PLLC CurrentSince Jul 11, 2021 Accepting new patients
Hni Medical Services PastSince Jul 11, 2021 Accepting new patients

Locations

11406 Rustic Rock Dr
Austin, TX 78750
Phone (512) 251-3915

12731 Research Blvd
Ste B200
Austin, TX 78759
Phone (512) 407-4088

1108 Lavaca St
Ste 110320
Austin, TX 78701
Phone (512) 482-0390

Interoperability endpoints

  • Direct secure messaging: rebecca.nycz.1@25850.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1508437948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12731 RESEARCH BLVD STE B200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594387",
            "telephone_number": "512-477-4088",
            "fax_number": "512-482-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 RANCH ROAD 3237",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765311",
            "telephone_number": "512-847-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYCZ",
        "first_name": "REBECCA",
        "middle_name": "EILEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1046846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimberley, TX

Sources for this page

Verify at the official NPI Registry.