Individual provider Active NPI

Andrea R Kirchner, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1679379499
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1204853 Issued in TX
Practice address
3418 N Lamar Blvd Ste 100
Austin, TX 78705-1176
Phone
(512) 244-4272
Fax
(512) 244-2895
NPI assigned
Feb 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95263992 CA
Registered Nurse 163W00000X 827573 NY
Registered Nurse 163W00000X 913686 TX
Family Nurse Practitioner 363LF0000X 1204853 TX Primary

Addresses

Primary practice location

3418 N Lamar Blvd Ste 100
Austin, TX 78705-1176

Mailing address

101 W Louis Henna Blvd Ste 300
Austin, TX 78728-1203

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
I20250702001327 TX Practitioner - Nurse Practitioner 9234642224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Davids OB and GYN Services, PLLCGroup PAC ID 5395241335, 21 clinicians

Practice addresses (Care Compare)

3407 Glenview Ave
Austin, TX 78703-1448
Phone (512) 716-0861

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95263992CAMDRegistered Nurse
827573NYMDRegistered Nurse
913686TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Malone, MD PA CurrentSince Jun 25, 2025 Accepting new patients
Mark Malone MD PA CurrentSince Jun 25, 2025 Accepting new patients

Locations

101 W Louis Henna Blvd
Ste 300
Austin, TX 78728

6000 S Mopac Expy
Ste 100
Austin, TX 78749

3418 N Lamar Blvd
Ste 100
Austin, TX 78705

1106 College St
Ste C
Bastrop, TX 78602
Phone (512) 244-2895

Interoperability endpoints

  • Direct secure messaging: andrea.kirchner.1@24201.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1679379499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W LOUIS HENNA BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787281203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 N LAMAR BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051176",
            "telephone_number": "512-244-4272",
            "fax_number": "512-244-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHNER",
        "first_name": "ANDREA",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95263992",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "827573",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "913686",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1204853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.