Jennifer A Arnecilla, M.D.
Individual provider Active NPI Family Medicine Physician · Austin, TX
NPI 1982604161 · NPPES record last updated Feb 4, 2017
Key facts
- NPI
- 1982604161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- K1972 (TX)
- Practice address
- 2400 Cedar Bend Dr
Austin, TX 78758-5378 - Phone
- (512) 901-4026
- Fax
- (512) 901-3926
- NPI assigned
- Jul 28, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Austin Diagnostic Clinic PLLC
Practice addresses (Care Compare)
12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-2530
2400 Cedar Bend Dr
Austin, TX 78758-5378
Phone (512) 901-4011
Hospital & facility affiliations
- St. David'S Healthcare at Home
- North Austin Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.44 of 100
- Quality
- 89.31
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.16
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040602001272 | TX | Practitioner - Family Practice | 6103808357 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucp Physicians of Central Texas, PLLC | Current |
Accepting new patients | |
| The Austin Diagnostic Clinic, PLLC | Current | Accepting new patients | |
| Austin Diagnostic Clinic | Current |
Accepting new patients | |
| The Austin Diagnostic Clinic, PLLC | Family Medicine | Current |
Accepting new patients |
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Austin Diagnostic Clinic, PA | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
2400 Cedar Bend Dr
Austin, TX 78758
Phone (512) 901-4016
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
4315 James Casey St
Austin, TX 78745
Phone (512) 460-3404
6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627
1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330
1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100
Interoperability endpoints
- jennifer.arnecilla@hca8.eclinicaldirectplus.com
- 11219-arnecilla-jennifer@direct.leadingreach.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K1972 | TX | Yes |
Addresses
Primary practice location
2400 Cedar Bend Dr
Austin, TX 78758-5378
Mailing address
12221 N. Mopac Expressway
Austin, TX 78758-2483
Phone (512) 901-4026
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80101985 | Medicaid | TX | |
| 1871773564 | Other | TX | ORGANIZATION NPI |
| 043852502 | Medicaid | TX |
Other providers in Austin, TX
- Margaret Clement Armstrong
- Michael Armstrong
- Michael Allen Armstrong
- Natalie Armstrong
- Tracy Woodrick Armstrong
- Keeley Arnecke
- Margaret Arneson
- Haley Elisabeth Arnette
- Melisa Arnette
- Anastasia Arnold
All providers in Austin, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.