Individual provider Active NPI

Jeffrey Joseph Hadac, DNP, FNP-C

  • Primary Care Nurse Practitioner
  • Kyle, TX
National Provider Identifier
1609641232
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1099336 Issued in TX
Practice address
6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone
(512) 504-5000
NPI assigned
Nov 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1099336 TX Primary

Addresses

Primary practice location

6001 Kyle Pkwy
Kyle, TX 78640-6112

Mailing address

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

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
I20231227001297 TX Practitioner - Nurse Practitioner 7911357371 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1099336TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA CurrentSince Dec 18, 2023 Accepting new patients
Usacs Observation Medicine Services of Texas PLLC CurrentSince Dec 19, 2023 Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081

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": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1609641232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 KYLE PKWY",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406112",
            "telephone_number": "512-504-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 KYLE PKWY",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406112",
            "telephone_number": "512-504-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADAC",
        "first_name": "JEFFREY",
        "middle_name": "JOSEPH",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1099336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.