Active NPI
Nancy J Eisen, DO
- Family Medicine Physician
- Georgetown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K5519
- Practice address
- 1507 Rivery Blvd
Georgetown, TX 78628-3058 - Phone
- (512) 509-9550
- Fax
- (512) 509-9555
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K5519 | TX | Primary |
Addresses
Primary practice location
1507 Rivery Blvd
Georgetown, TX 78628-3058
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111
Other practice location 1
2400 Cedar Bend Dr
Austin, TX 78758-5378
Phone (512) 901-4026
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00770770 | Other | TX | RRMCR |
| 142166104 | Medicaid | TX | |
| 142166103 | Medicaid | TX |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | NANCY.EISEN@hca8.eclinicaldirectplus.com | ||
| Direct Messaging Address | neisen1050487@direct.sw.org | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Texas HSC, College of Osteopathic Med, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10526 W Parmer LN BLDG
4 Baylor Scott and White Clinic Austi
Austin, TX 78717-4873
Phone (512) 310-4700
1507 Rivery Blvd
Georgetown, TX 78628-3058
Phone (512) 509-9550
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
4945 Williams Dr
Baylor Scott and White Clinic Georg
Georgetown, TX 78633-2008
Phone (512) 819-0500
5330 Overpass Rd
Buda, TX 78610-2300
7451 W State Hwy 29
Baylor Scott and White Clinic Georg
Georgetown, TX 78628-6849
Phone (512) 509-8700
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
- Baylor Scott & White Medical Center - Round Rock
- Baylor Scott & White Medical Center - Temple
- Baylor Scott & White Medical Center -Taylor
- Baylor Scott & White Medical Center Pflugerville
- Baylor Scott & White Institute for Rehabilitation
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K5519 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Clinic | Family Medicine | Current | Accepting new patients |
| Scott & White Clinic | Family Medicine | Current | Accepting new patients |
| Scott & White Clinic | Family Medicine | Current | Accepting new patients |
| Scott & White Hospital - Taylor | Past | Accepting new patients | |
| Austin Diagnostic Clinic, PA | Past | Accepting new patients |
Locations
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
1507 Rivery Blvd
Georgetown, TX 78628
Phone (512) 509-9550
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
2401 S 31st St
#M200
Temple, TX 76508
Interoperability endpoints
- 11219-eisen-nancy@direct.leadingreach.com
- nancy.eisen@hca8.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1619923950
-
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pflugerville, TX
- NPI 1346729159
Hospital
-
- General Acute Care Hospital
- Round Rock, TX
- NPI 1265568638
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1629136387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 RIVERY BLVD",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786283058",
"telephone_number": "512-509-9550",
"fax_number": "512-509-9555"
}
],
"practiceLocations": [
{
"address_1": "2400 Cedar Bend Dr",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787585378",
"country_code": "US",
"telephone_number": "512-901-4026",
"fax_number": "512-901-3940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EISEN",
"first_name": "NANCY",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K5519",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCR",
"identifier": "P00770770",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142166104",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142166103",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "NANCY.EISEN@hca8.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "2400 Cedar Bend Dr",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787585378",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "neisen1050487@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1507 Rivery Blvd",
"city": "Georgetown",
"state": "TX",
"country_code": "US",
"postal_code": "786283058",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.