Active NPI
Vicki Jo Raschke, MSN, APRN, AGCNS-BC
- Gerontology Clinical Nurse Specialist
- Austin, TX
National Provider Identifier
1952077679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- 1051682
- Practice address
- 1108 Lavaca St
Suite 110-320
Austin, TX 78701-2172 - Phone
- (512) 477-4088
- Fax
- (512) 482-0390
- NPI assigned
- Aug 22, 2021
- Last updated
- May 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | 1051682 | TX | Primary |
Addresses
Primary practice location
1108 Lavaca St
Suite 110-320
Austin, TX 78701-2172
Mailing address
1108 Lavaca St
Ste 110-320
Austin, TX 78701-2172
Phone (512) 477-4088
Other practice location 1
5625 Eiger Rd Ste 220
Austin, TX 78735-8982
Phone (512) 899-2028
Other practice location 2
3801 N LaMar Blvd Ste 300
Austin, TX 78756-4080
Phone (512) 306-3600
Other names 1
- Vicki Jo Matava
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1108 Lavaca St
Suite 110 320
Austin, TX 78701-2172
Phone (512) 477-4088
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Geriatric Specialists, PLLC | Single Specialty | Current | Accepting new patients |
| Hni Medical Services | Single Specialty | Past | Accepting new patients |
| John a Dieck PA | Single Specialty | Past | Accepting new patients |
Locations
1108 Lavaca St
Ste 110320
Austin, TX 78701
11406 Rustic Rock Dr
Austin, TX 78750
Phone (512) 251-3915
Interoperability endpoints
- https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4
- vicki.matava.1@25850.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1376575886
Single Specialty
-
dba Texas Heart & Vascular PA
- Cardiovascular Disease Physician
- Austin, TX
- NPI 1770744104
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1952077679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 LAVACA ST",
"address_2": "STE 110-320",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787012172",
"telephone_number": "512-477-4088",
"fax_number": "512-482-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 LAVACA ST",
"address_2": "SUITE 110-320",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787012172",
"telephone_number": "512-477-4088",
"fax_number": "512-482-0390"
}
],
"practiceLocations": [
{
"address_1": "5625 Eiger Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787358982",
"country_code": "US",
"telephone_number": "512-899-2028",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3801 N LaMar Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787564080",
"country_code": "US",
"telephone_number": "512-306-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RASCHKE",
"first_name": "VICKI",
"middle_name": "JO",
"credential": "MSN, APRN, AGCNS-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-22",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "TX",
"license": "1051682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICKI",
"last_name": "MATAVA",
"middle_name": "JO",
"code": "1",
"type": "Former Name"
}
]
}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 May 13, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.