Active NPI
Sabrina Quintanilla Mikan, ACNS-BC
- Adult Health Clinical Nurse Specialist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- AP115657
- Practice address
- 6204 Balcones Dr
Austin, TX 78731-4214 - Phone
- (512) 427-9400
- Fax
- (512) 342-7024
- NPI assigned
- Sep 9, 2011
- 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 |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 697360 | TX | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | AP115657 | TX | Primary |
Addresses
Primary practice location
6204 Balcones Dr
Austin, TX 78731-4214
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 285645201 | Medicaid | TX |
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
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6204 Balcones Dr
Austin, TX 78731-4214
Phone (512) 427-9400
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 67.48
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 697360 | TX | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients |
Locations
12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900
6204 Balcones Dr
Austin, TX 78731
Phone (512) 302-1771
3070 College St
Ste 301
Beaumont, TX 77701
Phone (409) 813-1686
4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102
7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000
925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
10970 Shadow Creek Pkwy
Ste 280
Pearland, TX 77584
Phone (713) 436-7500
6807 Emmett F Lowry Expy
Ste 304
Texas City, TX 77591
Phone (409) 935-8755
Interoperability endpoints
- sabrina.mikan@txo.ikm.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Medical Oncology Physician
- Webster, TX
- NPI 1821265265
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1578845152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "972-234-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6204 BALCONES DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314214",
"telephone_number": "512-427-9400",
"fax_number": "512-342-7024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKAN",
"first_name": "SABRINA",
"middle_name": "QUINTANILLA",
"credential": "ACNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "TX",
"license": "697360",
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "TX",
"license": "AP115657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "285645201",
"state": "TX"
}
],
"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 Jun 10, 2022; 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.