Individual provider Active NPI

Anu Rose Antony

  • Family Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1780132886
Registry record updated Sep 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131523 Issued in TX
Practice address
4502 Heritage Well LN
Round Rock, TX 78665-1262
Phone
(484) 477-6545
NPI assigned
Sep 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2016

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 AP131523 TX Primary

Addresses

Primary practice location

4502 Heritage Well LN
Round Rock, TX 78665-1262

Mailing address

4502 Heritage Well LN
Round Rock, TX 78665-1262
Phone (484) 477-6545

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
I20161111001328 TX Practitioner - Nurse Practitioner 2769760990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aco Jason Martin Medical ConsultingGroup PAC ID 6103327358, 28 clinicians

Practice addresses (Care Compare)

208 Bella Colinas Dr
Austin, TX 78738-7631
Phone (512) 840-1158

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aco Jason Martin Medical Consulting CurrentSince Sep 25, 2025 Accepting new patients
Jason Martin Medical Consulting LLC CurrentSince Feb 22, 2017 Accepting new patients

Locations

5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141

1373 N Avenue C
Elgin, TX 78621
Phone (512) 285-2457

521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978

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": "1474070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474070400000",
    "number": "1780132886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 HERITAGE WELL LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651262",
            "telephone_number": "484-477-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 HERITAGE WELL LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651262",
            "telephone_number": "484-477-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONY",
        "first_name": "ANU",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-17",
        "last_updated": "2016-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.