Individual provider Active NPI

Omar Hasan, APRN

  • Pediatric Nurse Practitioner
  • Austin, TX
National Provider Identifier
1700688868
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1191102 Issued in TX
Practice address
6425 S I-35
Suite 100
Austin, TX 78744
Phone
(512) 744-6000
Fax
(512) 583-0436
NPI assigned
Mar 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 11038375 FL
Pediatric Nurse Practitioner 363LP0200X 1191102 TX Primary

Addresses

Primary practice location

6425 S I-35
Suite 100
Austin, TX 78744

Mailing address

6425 S I-35
Suite 100
Austin, TX 78744
Phone (512) 744-6000

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
I20260202002123 TX Practitioner - Nurse Practitioner 1355829177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2115 Kramer LN
Austin, TX 78758-4197

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11038375FLMDPediatric Nurse Practitioner
1191102TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Community Health Centers CurrentSince Dec 13, 2025 Accepting new patients
Central Texas Community Health Centers CurrentSince Dec 13, 2025 Accepting new patients
Central Texas Community Health Centers Past Accepting new patients

Locations

1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300

2529 S 1st St
Austin, TX 78704
Phone (512) 972-4722

6425 S Interstate 35
Ste 100
Austin, TX 78744

301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318

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": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1700688868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 S I-35",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78744",
            "telephone_number": "512-744-6000",
            "fax_number": "512-583-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 S I-35",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78744",
            "telephone_number": "512-744-6000",
            "fax_number": "512-583-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "OMAR",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11038375",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1191102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.