Active NPI
Bethany Hart, PA-C
- Medical Physician Assistant
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA13327
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA13327 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David M Lee, MD, PA | Current | Accepting new patients | |
| The Wright House Wellness Center | Current | Accepting new patients | |
| Vivent Health Inc | Current | Accepting new patients | |
| Vivent Health Inc | Current | 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
- 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.
-
dba AHL Medical Group
- Federally Qualified Health Center (FQHC)
- Dallas, TX
- NPI 1073576864
-
dba Ashwell Health and Wellness
- Community Health Clinic/Center
- Austin, TX
- NPI 1538868294
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1770721607
-
- Dental Clinic/Center
- Milwaukee, WI
- NPI 1215175146
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.