Individual provider Active NPI

Emilie Anne Reyes, MSN, APRN, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1598334195
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1046876 Issued in TX
Practice address
4681 College Park Dr
Round Rock, TX 78665-1526
Phone
(512) 671-1100
NPI assigned
Jun 18, 2021
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1046876 TX Primary
Critical Care Medicine Registered Nurse 163WC0200X 811609 TX

Addresses

Primary practice location

4681 College Park Dr
Round Rock, TX 78665-1526

Mailing address

7711 Oconnor Dr Apt 1202
Round Rock, TX 78681-5557
Phone (512) 905-6676

Other names 1

  • Emilie Anne Boline Former 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
I20210805000417 TX Practitioner - Nurse Practitioner 8527462001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason Martin Medical Consulting LLCGroup PAC ID 8325289812, 51 clinicians

Practice addresses (Care Compare)

5301 Duval Rd
Austin, TX 78727-6618
Phone (512) 840-1158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
811609TXMDCritical Care Medicine Registered Nurse
1046876TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Martin Medical Consulting LLC CurrentSince Jul 15, 2021 Accepting new patients
Aco Jason Martin Medical Consulting CurrentSince Sep 25, 2025 Accepting new patients
Jason Martin Medical Consulting LLC PastSince May 25, 2025 Accepting new patients

Locations

5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141

1373 N Avenue C
Elgin, TX 78621
Phone (512) 285-2457

521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978

4681 College Park Dr
Round Rock, TX 78665
Phone (512) 671-1100

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, 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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1598334195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 OCONNOR DR APT 1202",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815557",
            "telephone_number": "512-905-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4681 COLLEGE PARK DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651526",
            "telephone_number": "512-671-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "EMILIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1046876",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "811609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILIE",
            "last_name": "BOLINE",
            "middle_name": "ANNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.