Individual provider Active NPI

Bethany Hart, PA-C

  • Medical Physician Assistant
  • Austin, TX
National Provider Identifier
1528616588
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA13327 Issued in TX
Practice address
104 E Highland Mall Blvd
Austin, TX 78752-3775
Phone
(512) 458-2437
Fax
(833) 393-3915
NPI assigned
Sep 3, 2019
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA13327 TX Primary

Addresses

Primary practice location

104 E Highland Mall Blvd
Austin, TX 78752-3775

Mailing address

104 E Highland Mall Blvd
Austin, TX 78752-3775
Phone (512) 458-2437

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
I20220722000227 TX Practitioner - Physician Assistant 1153702154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Southwestern Medical School at Dallas, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivent Health IncGroup PAC ID 1052308376, 54 clinicians

Practice addresses (Care Compare)

104 E Highland Mall Blvd
Suite 100
Austin, TX 78752-3776
Phone (512) 648-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA13327TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
David M Lee, MD, PA CurrentSince May 10, 2022 Accepting new patients
The Wright House Wellness Center Current Accepting new patients
Vivent Health Inc CurrentSince Oct 1, 2025 Accepting new patients
Vivent Health Inc CurrentSince Oct 1, 2025 Accepting new patients
Vivent Health Inc Past Accepting new patients

Locations

104 E Highland Mall Blvd
Austin, TX 78752
Phone (512) 458-2437

104 E Highland Mall Blvd
Ste 100
Austin, TX 78752
Phone (512) 458-2437

3900 Junius St
Ste 300
Dallas, TX 75246
Phone (214) 521-5191

4004 Worth St
Ste 100
Dallas, TX 75246
Phone (214) 623-6830

648 N Plankinton Ave
Ste 200
Milwaukee, WI 53203

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17882/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1528616588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E HIGHLAND MALL BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523775",
            "telephone_number": "512-458-2437",
            "fax_number": "833-393-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E HIGHLAND MALL BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523775",
            "telephone_number": "512-458-2437",
            "fax_number": "833-393-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "BETHANY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA13327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.