Individual provider Active NPI

Natalie Ursula Gonsior Nicholson, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1780105924
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11317 Issued in TX
Practice address
15534 Ranch Road 620 N Ste 100
Austin, TX 78717-5277
Phone
(512) 231-1444
Fax
(512) 828-5511
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11317 TX Primary

Addresses

Primary practice location

15534 Ranch Road 620 N Ste 100
Austin, TX 78717-5277

Mailing address

8240 N Mopac Expy Ste 100
Austin, TX 78759-8869
Phone (512) 687-1970

Other practice location 1

11410 Jollyville Rd Ste 1101
Austin, TX 78759-4093
Phone (512) 231-1444

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
I20170804000693 TX Practitioner - Physician Assistant 6204107584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Tennessee, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Austin PLLCGroup PAC ID 7810087905, 59 clinicians

Practice addresses (Care Compare)

8701 N Mopac Expy
Suite 200
Austin, TX 78759-8364
Phone (512) 788-9688

Merit-based Incentive Payment System (MIPS)

Final score
93.2 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Austin, PLLC Physician Assistant CurrentSince Sep 1, 2023 Accepting new patients
Urology Austin PLLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

8240 N Mopac Expy
Ste 100
Austin, TX 78759
Phone (512) 687-1950

15534 Ranch Road 620 N
Ste 100
Austin, TX 78717
Phone (512) 231-1444

11410 Jollyville Rd
Ste 1101
Austin, TX 78759
Phone (512) 231-1444

8701 N Mopac Expy
Ste 200
Austin, TX 78759
Phone (512) 256-3000

8701 N Mopac Expy
Ste 100
Austin, TX 78759
Phone (737) 241-2184

4207 James Casey St
Ste 107
Austin, TX 78745
Phone (512) 416-0444

3101 Highway 71 E
Ste 210A
Bastrop, TX 78602

1180 Seton Pkwy
Ste 125
Kyle, TX 78640

Interoperability endpoints

  • Direct secure messaging: natalienicholson@uroaustin.medalliesdirect.net
  • Direct secure messaging: nan9071@direct.nyp.org

Organizations & group practices 2

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1780105924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 N MOPAC EXPY STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598869",
            "telephone_number": "512-687-1970",
            "fax_number": "512-407-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15534 RANCH ROAD 620 N STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175277",
            "telephone_number": "512-231-1444",
            "fax_number": "512-828-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11410 Jollyville Rd Ste 1101",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787594093",
            "country_code": "US",
            "telephone_number": "512-231-1444",
            "fax_number": "512-231-7051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "NATALIE",
        "middle_name": "URSULA GONSIOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.