Individual provider Active NPI

Kathryn Grace Stephens, PA-C

  • Physician Assistant
  • Cedar Park, TX
National Provider Identifier
1801751706
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1401 Medical Pkwy Ste 101
Cedar Park, TX 78613-5012
Phone
(512) 788-9688
Fax
(512) 260-1991
NPI assigned
Dec 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 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 Primary

Addresses

Primary practice location

1401 Medical Pkwy Ste 101
Cedar Park, TX 78613-5012

Mailing address

8701 N Mopac Expy Ste 105
Austin, TX 78759-8364
Phone (512) 687-1970

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
I20260602002847 TX Practitioner - Physician Assistant 7719458686

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Pittsburgh School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8701 N Mopac Expy
Suite 105
Austin, TX 78759-8364

9550 Savannah Ridge Dr
Unit 14
Austin, TX 78726-1913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1801751706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 N MOPAC EXPY STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598364",
            "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": "1401 MEDICAL PKWY STE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135012",
            "telephone_number": "512-788-9688",
            "fax_number": "512-260-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "KATHRYN",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-22",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.