Individual provider Active NPI

Julie Kristine Thielke, APRN, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1861156127
Registry record updated Oct 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1048232 Issued in TX
Practice address
8402 Cross Park Dr
Austin, TX 78754-4595
Phone
(512) 823-0570
NPI assigned
Oct 23, 2021
Last updated
Oct 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1048232 TX Primary

Addresses

Primary practice location

8402 Cross Park Dr
Austin, TX 78754-4595

Mailing address

600 Haleys CV
Leander, TX 78641-9445
Phone (512) 567-7828

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
I20211108002262 TX Practitioner - Nurse Practitioner 8921497264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians

Practice addresses (Care Compare)

603 Louis Henna Blvd
Suite B140
Round Rock, TX 78664-4102
Phone (512) 200-2269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1048232TXMDFamily Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634947200000",
    "number": "1861156127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HALEYS CV",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786419445",
            "telephone_number": "512-567-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 CROSS PARK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787544595",
            "telephone_number": "512-823-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELKE",
        "first_name": "JULIE",
        "middle_name": "KRISTINE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-23",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1048232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.