Individual provider Active NPI

Amanda Robalin, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1598220691
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3500 Jefferson St Ste 200
Austin, TX 78731-6200
Phone
(512) 451-0139
Fax
(512) 323-5880
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

3500 Jefferson St Ste 200
Austin, TX 78731-6200

Mailing address

12413 Beartrap LN
Austin, TX 78729-7938
Phone (915) 240-4751

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
I20190329001973 TX Practitioner - Physician Assistant 1254672249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

1400 E Cemetery Rd
Hallettsville, TX 77964-4583
Phone (512) 643-4384

3500 Jefferson St
Suite 200
Austin, TX 78731-6200
Phone (512) 643-4384

4040 Medical Park Dr
Odessa, TX 79765-2233
Phone (432) 217-0344

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J Ladd Jr DO PA Dba Austin Center for Skin Health and Rejuvenat CurrentSince Feb 27, 2019 Accepting new patients
Clear Creek Dermatology Past Accepting new patients

Locations

3500 Jefferson St
Ste 200
Austin, TX 78731
Phone (512) 643-4384

3101 Highway 71 E
Ste 203
Bastrop, TX 78602
Phone (512) 643-4384

701 E Whitestone Blvd
Ste 150
Cedar Park, TX 78613
Phone (512) 260-5860

1400 E Cemetery Rd
Hallettsville, TX 77964
Phone (512) 643-4384

2 Saint Marks Pl
Ste 140
La Grange, TX 78945
Phone (512) 643-4384

4112 Links Ln
Ste 205
Round Rock, TX 78664
Phone (512) 379-6090

160 Creekside Park Rd
Ste 300
Spring Branch, TX 78070
Phone (512) 643-4384

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1598220691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12413 BEARTRAP LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787297938",
            "telephone_number": "915-240-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 JEFFERSON ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316200",
            "telephone_number": "512-451-0139",
            "fax_number": "512-323-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBALIN",
        "first_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.