Individual provider Active NPI

Andie Elisabeth Moczygemba, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1790247435
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12733 Issued in TX
Practice address
1301 W 38TH St Ste 200
Austin, TX 78705-1010
Phone
(512) 324-5943
Fax
(737) 242-2692
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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 PA12733 TX Primary

Addresses

Primary practice location

1301 W 38TH St Ste 200
Austin, TX 78705-1010

Mailing address

1301 W 38TH St Ste 200
Austin, TX 78705-1010
Phone (512) 324-5943

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
I20190710000658 TX Practitioner - Physician Assistant 9133454499 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1004 W 32ND St
200 Ascension Texas Spine and Scoliosis
Austin, TX 78705-1006
Phone (512) 324-3580

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

1301 W 38TH St
109 Tri County Prac Assoc
Austin, TX 78705-1010
Phone (512) 354-3000

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jan 15, 2025 Accepting new patients
Star Orthopedics and Sports Medicine PLLC CurrentSince Jun 20, 2019 Accepting new patients
Seton Family of Doctors CurrentSince Jan 15, 2025 Accepting new patients
Seton Family of Doctors Past Accepting new patients
Neurotexas, PLLC Past Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

5550 Warren Pkwy
Ste 200
Frisco, TX 75034
Phone (469) 850-0680

Interoperability endpoints

  • Direct secure messaging: andie.divita@hca8.eclinicaldirectplus.com

Organizations & group practices 7

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1790247435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051010",
            "telephone_number": "512-324-5943",
            "fax_number": "737-242-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 38TH ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051010",
            "telephone_number": "512-324-5943",
            "fax_number": "737-242-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCZYGEMBA",
        "first_name": "ANDIE",
        "middle_name": "ELISABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.