Individual provider Active NPI

Elaine Cisneros, NP

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1952773442
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP129533 Issued in TX
Practice address
7005 Mira Loma LN
Suite 100
Austin, TX 78723-1411
Phone
(512) 843-7600
NPI assigned
Oct 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 521564 TX
Nurse Practitioner 363L00000X AP129533 TX Primary

Addresses

Primary practice location

7005 Mira Loma LN
Suite 100
Austin, TX 78723-1411

Mailing address

619 Stonewood St
San Antonio, TX 78216-7984
Phone (210) 545-9258

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
I20180131000628 TX Practitioner - Nurse Practitioner 4880954445 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
521564TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Infectious Diseases Consultants CurrentSince May 1, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 1, 2018 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 1, 2018 Accepting new patients

Locations

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

1200 Brooklyn Ave
Ste 365
San Antonio, TX 78212
Phone (210) 224-9616

7940 Floyd Curl Dr
Ste 560
San Antonio, TX 78229
Phone (210) 614-8100

8042 Wurzbach Rd
Ste 280
San Antonio, TX 78229
Phone (210) 614-8100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505952000000",
    "number": "1952773442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 STONEWOOD ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167984",
            "telephone_number": "210-545-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 MIRA LOMA LN",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231411",
            "telephone_number": "512-843-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS",
        "first_name": "ELAINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2017-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "521564",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP129533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.