Jillian Carol Grevenstuk

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

1058042 Issued in TX

Practice address

2639 Haselwood LN
Round Rock, TX 78665-2362

Phone

(806) 252-5668

NPI assigned

Dec 12, 2021

Last updated

Jan 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Usacs Critical Care Medicine Services of Texas PLLCGroup PAC ID 1153681796, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Usacs Critical Care Medicine Services of Texas, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Cedar Park, TX
  • NPI 1023522554

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233

  Single Specialty

  Medicare reassignment NPD
• Seton Family of Doctors

  dba One Medical Group of Texas

  • Family Medicine Physician
  • Austin, TX
  • NPI 1225644065

  Single Specialty

  NPD
• Seton Family of Doctors

  dba Ascension Texas Imaging

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1275290694
  NPD

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

• Ascension Seton

  dba Ascension Seton Medical Center Austin

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1164526786
  Care Compare affiliation

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1710646211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 HASELWOOD LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652362",
            "telephone_number": "806-252-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 HASELWOOD LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786652362",
            "telephone_number": "806-252-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREVENSTUK",
        "first_name": "JILLIAN",
        "middle_name": "CAROL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-12",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "1058042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Elise Green
• Greenlawn Family Chiropractic
• Heather Greer, NP-C
• Jessica Dinneen Grenard, PA-C
• Dylan Gretzler, RBT
• Grey Matters Counseling & Consulting, PLLC
• Alexander Dietrich Grieme
• Caroline Grieser, LPC
• Latina May Griffin, LCSW
• Walker Grant Griffin

• Critical Care Medicine Nurse Practitioner in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Critical Care Medicine Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.