Individual provider Active NPI

John Clingan

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1750975165
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144152 Issued in TX
Practice address
15004 Avery Ranch Blvd Ste 105
Austin, TX 78717-4600
Phone
(512) 528-7420
Fax
(512) 528-7421
NPI assigned
Feb 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144152 TX Primary

Addresses

Primary practice location

15004 Avery Ranch Blvd Ste 105
Austin, TX 78717-4600

Mailing address

611 Brazos Bend Dr
Cedar Park, TX 78613-7503
Phone (512) 739-7803

Other identifiers 1

IdentifierTypeStateIssuer
AP144152OtherTXTX LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.clingan.1@1570.direct.athenahealth.com Direct

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
I20211020000482 TX Practitioner - Nurse Practitioner 5597153874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

15004 Avery Ranch Blvd
Suite 105
Austin, TX 78717-4600
Phone (512) 528-7420

3405 El Salido Pkwy
Cedar Park, TX 78613-5640
Phone (512) 270-2247

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144152TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jun 30, 2025 Accepting new patients
Timberland Medical Group CurrentSince Aug 1, 2022 Accepting new patients
Seton Family of Doctors CurrentSince Jun 30, 2025 Accepting new patients
Seton Family of Doctors Current Accepting new patients
Timberland Medical Group Family CurrentSince Aug 1, 2022 Accepting new patients

Locations

15004 Avery Ranch Blvd
Ste 105
Austin, TX 78717
Phone (512) 528-7420

15004 Avery Ranch Blvd
#10
Austin, TX 78717
Phone (512) 255-7070

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

Interoperability endpoints

  • Direct secure messaging: john.clingan.1@8363.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1750975165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BRAZOS BEND DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137503",
            "telephone_number": "512-739-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15004 AVERY RANCH BLVD STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174600",
            "telephone_number": "512-528-7420",
            "fax_number": "512-528-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINGAN",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-25",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "AP144152",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.clingan.1@1570.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15004 Avery Ranch Blvd Ste 105",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787174600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.