Individual provider Active NPI

Malory Selena Calderon, AGCNS-BC

  • Gerontology Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1952825275
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
AP134782 Issued in TX
Practice address
919 E 32ND St
Austin, TX 78705
Phone
(512) 901-1000
NPI assigned
Jul 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 882885 TX
Nurse Practitioner 363L00000X AP134782 TX
Gerontology Clinical Nurse Specialist 364SG0600X AP134782 TX Primary

Addresses

Primary practice location

919 E 32ND St
Austin, TX 78705

Mailing address

3400 Harmon Ave Apt 241
Austin, TX 78705-2357
Phone (512) 296-5112

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
I20171109003079 TX Practitioner - Nurse Practitioner 6608132444 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians
Ipc Healthcare Services of Texas PLLCGroup PAC ID 3971824939, 184 clinicians

Practice addresses (Care Compare)

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

201 Seton Pkwy
Round Rock, TX 78665-8000
Phone (512) 324-4000

260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747

6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone (512) 504-5125

800 E Hwy 71
Smithville, TX 78957-1730
Phone (512) 237-3214

901 W Ben White Blvd
Austin, TX 78704-6903
Phone (512) 816-7102

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.55 of 100Reported as group
Quality
70.56
Improvement activities
40
Cost
72.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
882885TXMDRegistered Nurse
AP134782TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Sep 25, 2024 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Nurse Practitioner CurrentSince Oct 1, 2018 Accepting new patients
Usacs Observation Medicine Services of Texas PLLC CurrentSince Sep 10, 2024 Accepting new patients
CH Specialty Services TX PLLC CurrentSince Oct 9, 2024 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Jan 1, 2018 Accepting new patients
Curana Health Medical Group LLC Nurse Practitioner CurrentSince Oct 9, 2024 Accepting new patients

Locations

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

8911 N Capital of Texas Hwy
Ste 1110
Austin, TX 78759
Phone (515) 238-2826

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

5980 Kyle Pkwy
Kyle, TX 78640
Phone (512) 262-0821

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1952825275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 HARMON AVE APT 241",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052357",
            "telephone_number": "512-296-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 E 32ND ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-901-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "MALORY",
        "middle_name": "SELENA",
        "credential": "AGCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "882885",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134782",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "TX",
            "license": "AP134782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.