Active NPI
Casey Boulanger Nelson, PA-C
- Physician Assistant
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14880
- Practice address
- 319 Congress Ave Ste 100
Austin, TX 78701-3692 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- Apr 12, 2017
- Last updated
- Mar 17, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14880 | TX | Primary |
| Physician Assistant | 363A00000X | 54312 | CA |
Addresses
Primary practice location
319 Congress Ave Ste 100
Austin, TX 78701-3692
Mailing address
PO Box 550
Yosemite National Park, CA 95389-0550
Phone (512) 663-3361
Other practice location 1
9000 Ahwahnee Drive
Yosemite National Park, CA 95389
Phone (209) 372-4637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 N Ih 35
Austin, TX 78701-1926
1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300
319 Congress Ave
Suite 100
Austin, TX 78701-3692
Phone (512) 491-1095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54312 | CA | MD | General Practice Dentistry |
| PA14880 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Family of Doctors | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| US Dept of the Interior National Park Service | Current | Accepting new patients | |
| One Medical Group of Texas, P.a. | Current | Accepting new patients | |
| US Department of the Interior, National Park Service | Current | Accepting new patients | |
| National Park Service | Past | Accepting new patients | |
| Seton Family of Doctors | Past | Accepting new patients |
Locations
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
319 Congress Ave
Ste 100
Austin, TX 78701
Phone (512) 491-1095
Organizations & group practices 7
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.
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
dba Yosemite Medical Clinic
- Urgent Care Clinic/Center
- Yosemite National Park, CA
- NPI 1427342930
-
dba One Medical
- Family Medicine Physician
- Austin, TX
- NPI 1770167827
-
dba One Medical Group of Texas
- Family Medicine Physician
- Austin, TX
- NPI 1225644065
-
dba Ascension Texas Imaging
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
-
dba Sequoia & Kings Canyon National Park EMS
- Land Ambulance
- Three Rivers, CA
- NPI 1780738831
-
dba Yosemite National Park EMS
- Land Ambulance
- Yosemite National Park, CA
- NPI 1548556343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1548794027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "YOSEMITE NATIONAL PARK",
"state": "CA",
"postal_code": "953890550",
"telephone_number": "512-663-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 CONGRESS AVE STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787013692",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "9000 Ahwahnee Drive",
"address_purpose": "LOCATION",
"city": "Yosemite National Park",
"state": "CA",
"postal_code": "95389",
"country_code": "US",
"telephone_number": "209-372-4637",
"fax_number": "209-372-4330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "CASEY",
"middle_name": "BOULANGER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA14880",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "54312",
"primary": false
}
],
"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 Mar 17, 2025; 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.