Anjana Poudel

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1049291 Issued in TX

Practice address

704 E Wonsley Dr
Austin, TX 78753-6504

Phone

(512) 453-7356

Fax

(512) 453-3590

NPI assigned

Dec 22, 2021

Sex

Female

Sole proprietor

No

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

Verasage HealthGroup PAC ID 4486132024, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Verasage Health

  • Family Medicine Physician
  • Austin, TX
  • NPI 1518828953
  Medicare reassignment Care Compare group NPD
• Keith Lamy MD, PA

  • Family Medicine Physician
  • Austin, TX
  • NPI 1821287905
  NPD (past)

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1780344374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 E WONSLEY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787536504",
            "telephone_number": "512-453-7356",
            "fax_number": "512-453-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 E WONSLEY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787536504",
            "telephone_number": "512-453-7356",
            "fax_number": "512-453-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUDEL",
        "first_name": "ANJANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1049291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marimikel Potter, RN-BSN, LM, CPM
• Nicole Vanessa Potter, PT, DPT
• Jackson Bradley Potts II, RN, BSN
• Mallory Louise Potts, DC
• Wanda Buffaloe Potts, RN, RNFA
• Fabrice Lionel Pougoue Ngomsi
• Rebecca Poulos
• Samuel Terrence Poulos, M.D.
• Pamela Poulter
• Amanda Lynn Pouncy-Ross, LCSW

• Family Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.