Individual provider Active NPI

Ingrid Annelane Alve Surigao, APRN, FNP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1568154573
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1116148 Issued in TX
Practice address
1221 W Ben White Blvd Ste 100
Austin, TX 78704-7192
Phone
(512) 440-5757
NPI assigned
May 26, 2023
Last updated
May 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 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 1116148 TX Primary

Addresses

Primary practice location

1221 W Ben White Blvd Ste 100
Austin, TX 78704-7192

Mailing address

6309 Gunflint Dr
Austin, TX 78747-2807
Phone (954) 801-1523

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
I20250805002394 TX Practitioner - Nurse Practitioner 0941749063 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Wound and Skin Care Inc CurrentSince Jun 3, 2025 Accepting new patients

Locations

2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

Interoperability endpoints

  • Direct secure messaging: ingrid.surigao.1@16277.direct.athenahealth.com

Organizations & group practices 1

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": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1568154573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 GUNFLINT DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787472807",
            "telephone_number": "954-801-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047192",
            "telephone_number": "512-440-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURIGAO",
        "first_name": "INGRID ANNELANE",
        "middle_name": "ALVE",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1116148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.