Individual provider Active NPI

Annmarie Staats, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Park, TX
National Provider Identifier
1902309412
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP136957 Issued in TX
Practice address
12151 W Parmer LN Ste 202
Cedar Park, TX 78613-2171
Phone
(512) 593-7070
NPI assigned
Mar 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP136957 TX Primary

Addresses

Primary practice location

12151 W Parmer LN Ste 202
Cedar Park, TX 78613-2171

Mailing address

12151 W Parmer LN Ste 202
Cedar Park, TX 78613-2171
Phone (512) 593-7070

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
I20180710001797 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 4880940600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Staats Psychiatric Services PLLCGroup PAC ID 8921346792, 9 clinicians

Practice addresses (Care Compare)

12151 W Parmer LN
Suite 202
Cedar Park, TX 78613-2171
Phone (512) 593-7070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136957TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Neuropsychiatry Association PLLC CurrentSince Jun 1, 2026 Accepting new patients
Staats Psychiatric Services PLLC Psychiatric/Mental Health CurrentSince Jun 5, 2018 Accepting new patients

Locations

12001 W Parmer Ln
Ste 203B
Cedar Park, TX 78613
Phone (512) 593-7070

12151 W Parmer Ln
Ste 202
Cedar Park, TX 78613
Phone (512) 593-7070

14001 W State Highway 29
Ste 105
Liberty Hill, TX 78642
Phone (512) 593-7070

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": "1520640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1902309412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12151 W PARMER LN STE 202",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132171",
            "telephone_number": "512-593-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12151 W PARMER LN STE 202",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132171",
            "telephone_number": "512-593-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAATS",
        "first_name": "ANNMARIE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-10",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP136957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.