Individual provider Active NPI

Maureen R Nelson, MD

  • Pediatric Rehabilitation Medicine Physician
  • Austin, TX
National Provider Identifier
1801820170
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
H8772 Issued in TX
Practice address
8611 N Mopac Expy Ste 300
Austin, TX 78759-8319
Phone
(737) 220-8200
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 200200970 NC
Physical Medicine & Rehabilitation Physician 208100000X H8772 TX
Pediatric Rehabilitation Medicine Physician 2081P0010X H8772 TX Primary

Addresses

Primary practice location

8611 N Mopac Expy Ste 300
Austin, TX 78759-8319

Mailing address

6621 Fannin St
MC WT 21-329
Houston, TX 77030-2358
Phone (832) 824-1000

Other practice location 1

333 N Santa Rosa
San Antonio, TX 78207-3108
Phone (210) 704-2925

Other identifiers 3

IdentifierTypeStateIssuer
1317XOtherNCNCBCBS
891317XMedicaidNC
QH8772MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421000558 TX Practitioner - Physical Medicine and Rehabilitation 7214923879 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200200970NCMDPhysical Medicine & Rehabilitation Physician
H8772TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children'S Medical Group CurrentSince Mar 29, 2016 Accepting new patients
Dell Children'S Medical Group CurrentSince Mar 29, 2016 Accepting new patients
Baylor College of Medicine CurrentSince Mar 1, 2018 Accepting new patients
Dell Children'S Medical Group Current Accepting new patients
Texas Children'S Physician Group CurrentSince Feb 24, 2023 Accepting new patients
Texas Children'S Hospital PastSince May 14, 2023 Accepting new patients

Locations

8611 N Mopac Expy
Ste 300
Austin, TX 78759
Phone (737) 220-8200

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

1301 Barbara Jordan Blvd
Ste 307
Austin, TX 78723
Phone (512) 324-0907

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

6620 Main St
Ste 1350
Houston, TX 77030
Phone (713) 797-5929

6621 Fannin St
#21329
Houston, TX 77030
Phone (832) 326-2100

6550 Fannin St
Ste 1421
Houston, TX 77030
Phone (713) 798-4495

101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

Interoperability endpoints

  • Direct secure messaging: mnelson449132@prddirect.texaschildrens.org

Organizations & group practices 6

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1801820170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST",
            "address_2": "MC WT 21-329",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302358",
            "telephone_number": "832-824-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 N MOPAC EXPY STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598319",
            "telephone_number": "737-220-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N Santa Rosa",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782073108",
            "country_code": "US",
            "telephone_number": "210-704-2925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MAUREEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "200200970",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "H8772",
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "TX",
            "license": "H8772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBCBS",
            "identifier": "1317X",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891317X",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QH8772",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.