Individual provider Active NPI

Pamela Dockery, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1619348604
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP129318 Issued in TX
Practice address
4201 W Parmer LN Ste C175
Austin, TX 78727-4161
Phone
(855) 204-2502
Fax
(817) 783-4672
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP129318 TX Primary

Addresses

Primary practice location

4201 W Parmer LN Ste C175
Austin, TX 78727-4161

Mailing address

3001 Bee Caves Rd Ste 220
Austin, TX 78746-5590
Phone (855) 204-2502

Other practice location 1

3001 Bee Caves Rd Ste 220
Austin, TX 78746-5590
Phone (855) 204-2502

Other practice location 2

18707 Hardy Oak Blvd Ste 105
San Antonio, TX 78258-4792
Phone (855) 204-2502

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
I20170518001867 TX Practitioner - Nurse Practitioner 5193092328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kotel AtxGroup PAC ID 9537578810, 27 clinicians

Practice addresses (Care Compare)

Austin, TX 78746
Phone (512) 777-2591

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kotel Atx Psychiatric/Mental Health CurrentSince Nov 24, 2024 Accepting new patients
Kotel Atx CurrentSince Jan 9, 2023 Accepting new patients

Locations

4201 W Parmer Ln
Ste C175
Austin, TX 78727
Phone (737) 263-2656

18707 Hardy Oak Blvd
Ste 105
San Antonio, TX 78258
Phone (512) 610-8067

2800 E Highway 114
Ste 350
Trophy Club, TX 76262
Phone (817) 490-7856

3001 Bee Caves Rd
Ste 220
West Lake Hills, TX 78746

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": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1619348604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 BEE CAVES RD STE 220",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465590",
            "telephone_number": "855-204-2502",
            "fax_number": "817-783-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W PARMER LN STE C175",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274161",
            "telephone_number": "855-204-2502",
            "fax_number": "817-783-4672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Bee Caves Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787465590",
            "country_code": "US",
            "telephone_number": "855-204-2502",
            "fax_number": "817-783-4672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18707 Hardy Oak Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584792",
            "country_code": "US",
            "telephone_number": "855-204-2502",
            "fax_number": "817-783-4672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCKERY",
        "first_name": "PAMELA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP129318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.