Individual provider Active NPI

Marcy Louise Smith, ANP

  • Adult Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1629093067
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
734860 Issued in TX
Practice address
1301 W 38TH St
Suite 400
Austin, TX 78705-1000
Phone
(512) 324-3440
Fax
(512) 406-6513
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 734860 TX Primary

Addresses

Primary practice location

1301 W 38TH St
Suite 400
Austin, TX 78705-1000

Mailing address

1400 N Ih 35
Suite 300
Austin, TX 78701-1926
Phone (512) 324-8300

Other identifiers 5

IdentifierTypeStateIssuer
8780NKOtherTXBCBS
8099NMOtherTXBCBS
185066103MedicaidTX
185066104MedicaidTX
185066101MedicaidTX

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
I20070627000296 TX Practitioner - Nurse Practitioner 8426079740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

5103 Kyle Ctr Dr
Kyle, TX 78640-6164

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
734860TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jul 14, 2014 Accepting new patients
Seton Family of Doctors Current Accepting new patients
Seton Family of Doctors CurrentSince Jul 14, 2014 Accepting new patients

Locations

1301 W 38th St
Ste 400
Austin, TX 78705
Phone (512) 324-3340

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613

3101 Highway 71 E
Ste 101
Bastrop, TX 78602
Phone (512) 304-0300

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

Interoperability endpoints

  • Direct secure messaging: marcy.smith.1@8363.direct.athenahealth.com

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1629093067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N IH 35",
            "address_2": "SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011926",
            "telephone_number": "512-324-8300",
            "fax_number": "512-324-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST",
            "address_2": "SUITE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051000",
            "telephone_number": "512-324-3440",
            "fax_number": "512-406-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARCY",
        "middle_name": "LOUISE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "734860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8780NK",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8099NM",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185066103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185066104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185066101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.