Individual provider Active NPI

Carmen E. Addington, CNS

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1639625965
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131244 Issued in TX
Practice address
6500 N Mopac Expy
BLDG 3, Ste 200
Austin, TX 78731
Phone
(512) 458-8400
Fax
(512) 458-8593
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 763846 TX
Family Nurse Practitioner 363LF0000X AP131244 TX Primary

Addresses

Primary practice location

6500 N Mopac Expy
BLDG 3, Ste 200
Austin, TX 78731

Mailing address

6500 N Mopac Expy
BLDG 3, Ste 200
Austin, TX 78731
Phone (512) 458-8400

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
I20161006002056 TX Practitioner - Nurse Practitioner 6002104023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Diabetes and Endocrinology, P.a.Group PAC ID 3577459031, 25 clinicians

Practice addresses (Care Compare)

6500 N Mopac Expressway
BLDG 3 Suite 200
Austin, TX 78731-4309
Phone (512) 458-8400

Merit-based Incentive Payment System (MIPS)

Final score
75.33 of 100Reported as group
Quality
65.64
Promoting interoperability
76
Improvement activities
40
Cost
72.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
763846TXMDRegistered Nurse
AP131244TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Diabetes and Endocrinology PA CurrentSince Sep 1, 2016 Accepting new patients

Locations

6500 N Mopac Expy
Bldg 3
Austin, TX 78731
Phone (512) 458-8400

5000 Davis Ln
Ste 200
Austin, TX 78749
Phone (512) 338-4500

110 Deer Ridge Dr
Round Rock, TX 78681
Phone (512) 458-8400

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1639625965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 N MOPAC EXPY",
            "address_2": "BLDG 3, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-458-8400",
            "fax_number": "512-458-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N MOPAC EXPY",
            "address_2": "BLDG 3, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-458-8400",
            "fax_number": "512-458-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDINGTON",
        "first_name": "CARMEN",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "763846",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.