Individual provider Active NPI

Laura Ann Davis, P.A.

  • Surgical Physician Assistant
  • Austin, TX
National Provider Identifier
1780691063
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA04491 Issued in TX
Practice address
12221 Renfert Way Ste 300
Austin, TX 78758-5453
Phone
(512) 873-8900
Fax
(512) 834-8676
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04491 TX
Surgical Physician Assistant 363AS0400X PA04491 TX Primary

Addresses

Primary practice location

12221 Renfert Way Ste 300
Austin, TX 78758-5453

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other identifiers 3

IdentifierTypeStateIssuer
8N8469OtherTXBCBS OF TEXAS
190535803MedicaidTX
190535804MedicaidTX

Other names 1

  • Miss Laura Ann Nizer Former name

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
I20050630001007 TX Practitioner - Physician Assistant 8426094368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

104 Max Starcke Dam Rd
Marble Falls, TX 78654-2100
Phone (830) 798-0149

12221 Renfert Way
Austin, TX 78758-5444

12221 Renfert Way
Suite 300
Austin, TX 78758-5453
Phone (512) 873-8900

1401 Medical Pkwy
Suite 200
Cedar Park, TX 78613-5026
Phone (512) 260-6050

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456

211 Elmhurst
Suite a
Kyle, TX 78640-5983
Phone (512) 268-5383

2410 Round Rock Ave
Suite 150
Round Rock, TX 78681-4019
Phone (512) 341-8724

3107 Hwy 71 E
Bastrop, TX 78602-5158
Phone (512) 308-9024

4101 James Casey St
Austin, TX 78745-1145

6204 Balcones Dr
Austin, TX 78731-4214
Phone (512) 427-9400

7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313

901 W 38TH St
Suite 200
Austin, TX 78705-1165
Phone (512) 421-4100

PO Box
Suite 911242
Dallas, TX 75391-1242

Hospital & facility affiliations

  • North Austin Medical Center Hospital, Austin, TX, CCN 450809
  • Baylor Scott & White Medical Center - Marble Falls Hospital, Marble Falls, TX, CCN 670108
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA04491TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Nov 9, 2015 Accepting new patients
Texas Oncology PA Past Accepting new patients

Locations

12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

Interoperability endpoints

  • Direct secure messaging: laura.davis@txo.ikm.direct-ci.com

Organizations & group practices 3

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 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1780691063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "512-834-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 RENFERT WAY STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585453",
            "telephone_number": "512-873-8900",
            "fax_number": "512-834-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04491",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA04491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8N8469",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190535803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190535804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "NIZER",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.