Individual provider Active NPI

Jennifer Herbin

  • Family Nurse Practitioner
  • Bastrop, TX
National Provider Identifier
1962827576
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
728874 Issued in TX
Practice address
195 S Hasler Blvd
Suite B-1
Bastrop, TX 78602-4080
Phone
(512) 308-1555
NPI assigned
Feb 19, 2014
Last updated
Mar 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 728874 TX Primary

Addresses

Primary practice location

195 S Hasler Blvd
Suite B-1
Bastrop, TX 78602-4080

Mailing address

195 S Hasler Blvd Ste B1
Bastrop, TX 78602-4081

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
I20150925001575 TX Practitioner - Nurse Practitioner 0840508743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
C Ron Byrd MD PAGroup PAC ID 0244413458, 3 clinicians

Practice addresses (Care Compare)

2765 Bee Caves Rd
Suite 201
Austin, TX 78746-5994
Phone (512) 328-2752

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bastrop Medical Clinic, PA CurrentSince Jul 28, 2015 Accepting new patients
C. Ron Byrd, MD PA CurrentSince Aug 1, 2024 Accepting new patients

Locations

2765 Bee Caves Rd
Ste 201
Austin, TX 78746
Phone (512) 328-2752

195 S Hasler Blvd
Ste B1
Bastrop, TX 78602
Phone (512) 308-1555

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1962827576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S HASLER BLVD STE B1",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S HASLER BLVD",
            "address_2": "SUITE B-1",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024080",
            "telephone_number": "512-308-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBIN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "728874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.