Individual provider Active NPI

Amber Lee Nelson, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1699385500
Registry record updated Jan 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15018 Issued in TX
Practice address
4611 Guadalupe St Ste 200
Austin, TX 78751-2928
Phone
(512) 583-4211
NPI assigned
Aug 5, 2020
Last updated
Jan 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15018 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4611 Guadalupe St Ste 200
Austin, TX 78751-2928

Mailing address

4611 Guadalupe St Ste 200
Austin, TX 78751-2928
Phone (512) 497-9643

Other practice location 1

3600 N Garfield St
Midland, TX 79705-6329
Phone (432) 620-1120

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
I20211013000213 TX Practitioner - Physician Assistant 2062810674 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Travis County Emergency Physicians PAGroup PAC ID 0840289468, 289 clinicians

Practice addresses (Care Compare)

1201 W
38TH
Austin, TX 78705-1006
Phone (512) 324-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heinrich-Josey Orthopaedics, P.L.L.C Single Specialty CurrentSince Sep 28, 2021 Accepting new patients
Heinrich-Josey Orthopaedics CurrentSince Sep 28, 2021 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Jun 17, 2024 Accepting new patients
Privia Medical Group Gulf Coast, PLLC Single Specialty CurrentSince Jun 17, 2024 Accepting new patients
Star Urgent Care Management Inc Past Accepting new patients

Locations

4303 Victory Dr
Austin, TX 78704

4611 Guadalupe St
Ste 200
Austin, TX 78751
Phone (512) 583-4220

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1699385500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 GUADALUPE ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512928",
            "telephone_number": "512-497-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 GUADALUPE ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512928",
            "telephone_number": "512-583-4211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 N Garfield St",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797056329",
            "country_code": "US",
            "telephone_number": "432-620-1120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "AMBER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15018",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.