Active NPI
Andrea De Luna, PA-C
- Physician Assistant
- Austin, TX
National Provider Identifier
1932984622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17119
- Practice address
- 3200 Red River St Ste 206
Austin, TX 78705-2661 - Phone
- (512) 256-0158
- Fax
- (512) 256-0158
- NPI assigned
- Aug 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17119 | TX | Primary |
Addresses
Primary practice location
3200 Red River St Ste 206
Austin, TX 78705-2661
Mailing address
3200 Red River St Ste 206
Austin, TX 78705-2661
Phone (512) 256-0158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1932984622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 RED RIVER ST STE 206",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787052661",
"telephone_number": "512-256-0158",
"fax_number": "512-727-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 RED RIVER ST STE 206",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787052661",
"telephone_number": "512-256-0158",
"fax_number": "512-256-0158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LUNA",
"first_name": "ANDREA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-30",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA17119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.