Individual provider Active NPI

Yanelle Yliana Olmos, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1609546928
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1040439 Issued in TX
Practice address
12701 Ranch Road 620 N Ste 101
Austin, TX 78750-1141
Phone
(512) 593-6022
NPI assigned
Sep 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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 1040439 TX Primary

Addresses

Primary practice location

12701 Ranch Road 620 N Ste 101
Austin, TX 78750-1141

Mailing address

8802 North Path
Austin, TX 78759-7224
Phone (915) 543-8757

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
I20211228001126 TX Practitioner - Nurse Practitioner 5698166775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C Ron Byrd MD PAGroup PAC ID 0244413458, 3 clinicians

Practice addresses (Care Compare)

2765 Bee Caves Rd
Suite 201
Austin, TX 78746-5994
Phone (512) 328-2752

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1040439TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
C. Ron Byrd, MD PA CurrentSince Sep 1, 2024 Accepting new patients
Capitol Gastro, PA CurrentSince Sep 23, 2021 Accepting new patients

Locations

12701 Ranch Road 620 N
Ste 101
Austin, TX 78750

2765 Bee Caves Rd
Ste 201
Austin, TX 78746
Phone (512) 328-2752

Organizations & group practices 2

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": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1609546928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8802 NORTH PATH",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597224",
            "telephone_number": "915-543-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 RANCH ROAD 620 N STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501141",
            "telephone_number": "512-593-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMOS",
        "first_name": "YANELLE",
        "middle_name": "YLIANA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1040439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.