Individual provider Active NPI

Tracy Angelia Pollard-Johnson

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1558709394
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0990531-NP Issued in CO
Practice address
7800 Shoal Creek Blvd Ste 118W
Austin, TX 78757-1007
Phone
(512) 407-8880
Fax
(512) 407-8681
NPI assigned
Jun 13, 2013
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0990531-NP CO Primary

Addresses

Primary practice location

7800 Shoal Creek Blvd Ste 118W
Austin, TX 78757-1007

Mailing address

4360 Montebello Dr
Suite 900
Colorado Springs, CO 80918-7204
Phone (719) 388-1594

Other practice location 1

8540 Scarborough Dr
Suite 370
Colorado Springs, CO 80920-7502
Phone (719) 358-8270

Other names 1

  • Tracy Angelia Pollard-Johnson Professional name

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
I20250721003045 TX Practitioner - Nurse Practitioner 3173846326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
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

State licenses

LicenseStateTypeSpecialty
APN.0990531-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince May 7, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince May 7, 2025 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Pikes Peak Reflux and Weight Loss Surgery PLLC PastSince Sep 1, 2019 Accepting new patients

Locations

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

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

Interoperability endpoints

  • Direct secure messaging: tracy.pollard-johnson.1@32913.direct.athenahealth.com

Organizations & group practices 4

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 5

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1558709394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 MONTEBELLO DR",
            "address_2": "SUITE 900",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187204",
            "telephone_number": "719-388-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SHOAL CREEK BLVD STE 118W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571007",
            "telephone_number": "512-407-8880",
            "fax_number": "512-407-8681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8540 Scarborough Dr",
            "address_2": "Suite 370",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207502",
            "country_code": "US",
            "telephone_number": "719-358-8270",
            "fax_number": "719-358-8299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLARD-JOHNSON",
        "first_name": "TRACY",
        "middle_name": "ANGELIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0990531-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "POLLARD-JOHNSON",
            "middle_name": "ANGELIA",
            "credential": "APN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.