Individual provider Active NPI

Amy Kalisek, FNP-C

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1508463902
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1205638 Issued in TX
Practice address
1301 W 38TH St Ste 514
Austin, TX 78705-1014
Phone
(512) 681-0500
Fax
(512) 681-0501
NPI assigned
Oct 8, 2020
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1205638 TX Primary

Addresses

Primary practice location

1301 W 38TH St Ste 514
Austin, TX 78705-1014

Mailing address

6707 Columbia Dr
Austin, TX 78723-1348
Phone (281) 650-0057

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
I20260604000024 TX Practitioner - Nurse Practitioner 4082026703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1301 W 38TH St
Suite 514
Austin, TX 78705-1014

1345 Philomena St
Austin, TX 78723-3210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1205638TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Nurse Practitioner Current Accepting new patients
Clallam County Public Hospital District 2 PastSince Jan 1, 2021 Accepting new patients

Locations

1301 W 38th St
Ste 514
Austin, TX 78705
Phone (512) 681-0500

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1508463902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 COLUMBIA DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231348",
            "telephone_number": "281-650-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST STE 514",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051014",
            "telephone_number": "512-681-0500",
            "fax_number": "512-681-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISEK",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1205638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.