Individual provider Active NPI

Marie L. Sedlak Lupone, CRNP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1558456152
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1020694 Issued in TX
Practice address
7800 Shoal Creek Blvd Ste 130W
Austin, TX 78757-1040
Phone
(512) 407-8880
NPI assigned
Oct 3, 2006
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023036512 MO
Family Nurse Practitioner 363LF0000X SP007668 PA
Family Nurse Practitioner 363LF0000X 1020694 TX Primary

Addresses

Primary practice location

7800 Shoal Creek Blvd Ste 130W
Austin, TX 78757-1040

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (484) 346-1692

Other practice location 1

1106 College St Ste C
Bastrop, TX 78602-3948
Phone (512) 244-4272

Other practice location 2

8710 Manchester Rd
Saint Louis, MO 63144-2724
Phone (314) 961-3570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210713000749 TX Practitioner - Nurse Practitioner 2163599937 Reassigns benefits to 1 organization
I20230912002069 MO Practitioner - Nurse Practitioner 2163599937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa of Texas PLLCGroup PAC ID 7618911660, 67 clinicians

Practice addresses (Care Compare)

Austin, TX 78757
Phone (512) 407-8880

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Aug 2, 2022 Accepting new patients
Vpa of Texas PLLC CurrentSince Aug 2, 2022 Accepting new patients
Vpa PC CurrentSince Sep 7, 2023 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Vpa PC CurrentSince Sep 7, 2023 Accepting new patients

Locations

8706 Manchester Rd
Ste 106
Saint Louis, MO 63144
Phone (314) 961-3570

8710 Manchester Rd
Saint Louis, MO 63144
Phone (314) 961-3570

7800 Shoal Creek Blvd
Ste 118W
Austin, TX 78757
Phone (512) 374-0700

7800 Shoal Creek Blvd
Ste 130W
Austin, TX 78757
Phone (713) 874-0012

5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800

Interoperability endpoints

  • Direct secure messaging: marie.sedlak.lupone.1@32913.direct.athenahealth.com
  • Direct secure messaging: mariesedlaklupone@sffp.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1558456152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "484-346-1692",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SHOAL CREEK BLVD STE 130W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571040",
            "telephone_number": "512-407-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 College St Ste C",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "786023948",
            "country_code": "US",
            "telephone_number": "512-244-4272",
            "fax_number": "512-244-2895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8710 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631442724",
            "country_code": "US",
            "telephone_number": "314-961-3570",
            "fax_number": "314-961-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDLAK LUPONE",
        "first_name": "MARIE",
        "middle_name": "L.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023036512",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007668",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.