Individual provider Active NPI

Natalie R Lauryssen, PA

  • Surgical Physician Assistant
  • Round Rock, TX
National Provider Identifier
1811280324
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA09333 Issued in TX
Practice address
301 Seton Pkwy Ste 402
Round Rock, TX 78665-8003
Phone
(925) 699-5299
NPI assigned
May 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Surgical Physician Assistant 363AS0400X PA09333 TX Primary

Addresses

Primary practice location

301 Seton Pkwy Ste 402
Round Rock, TX 78665-8003

Mailing address

301 Seton Pkwy Ste 402
Round Rock, TX 78665-8003
Phone (925) 699-5299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220518000146 TX Practitioner - Physician Assistant 8729257142 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Feb 11, 2022 Accepting new patients
Seton Family of Doctors CurrentSince Feb 11, 2022 Accepting new patients

Locations

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

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

301 Seton Pkwy
Ste 402
Round Rock, TX 78665
Phone (512) 324-4815

Interoperability endpoints

  • Direct secure messaging: natalie.lauryssen.1@8363.direct.athenahealth.com

Organizations & group practices 2

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1811280324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SETON PKWY STE 402",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786658003",
            "telephone_number": "925-699-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SETON PKWY STE 402",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786658003",
            "telephone_number": "925-699-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURYSSEN",
        "first_name": "NATALIE",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA09333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.