Individual provider Active NPI

Cheryl Kay Saucier, PA-C

  • Medical Physician Assistant
  • Austin, TX
National Provider Identifier
1710170949
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01728 Issued in TX
Practice address
4534 W Gate Blvd Ste 113
Austin, TX 78745-1470
Phone
(512) 988-5355
Fax
(512) 323-0307
NPI assigned
Aug 21, 2007
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA01728 TX Primary

Addresses

Primary practice location

4534 W Gate Blvd Ste 113
Austin, TX 78745-1470

Mailing address

125 S Clark St Ste 900
Chicago, IL 60603-4043
Phone (512) 988-5355

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cheryl.saucier.1@13711.direct.athenahealth.com

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
I20090312000349 TX Practitioner - Physician Assistant 2264598473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VMD Primary Providers of South Central Texas PLLCGroup PAC ID 7911337472, 27 clinicians
South Austin Family Practice Clinic, PLLCGroup PAC ID 3678564358, 64 clinicians

Practice addresses (Care Compare)

4534 W Gate Blvd
Austin, TX 78745-1485
Phone (512) 988-5355

5625 Eiger Rd
200 Premier Family Physicians
Austin, TX 78735-8977
Phone (512) 892-7076

9055 Katy Fwy
Houston, TX 77024-1624
Phone (713) 461-2915

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA01728TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greg Marchand Family Medicine PA CurrentSince Feb 8, 2023 Accepting new patients

Locations

4534 West Gate Blvd
Ste 113
Austin, TX 78745
Phone (512) 394-6020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1710170949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S CLARK ST STE 900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606034043",
            "telephone_number": "512-988-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4534 W GATE BLVD STE 113",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451470",
            "telephone_number": "512-988-5355",
            "fax_number": "512-323-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCIER",
        "first_name": "CHERYL",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cheryl.saucier.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "4534 W Gate Blvd Ste 113",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787451470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.