Jennifer R Mixson, FNP
Nurse Practitioner, Family in Austin, TX. Individual provider (NPI-1).
NPI number1497315154
StatusActive
Last updated in NPPESJun 15, 2019
Details
- NPI
- 1497315154
- Entity type
- Individual (NPI-1)
- Name
- Jennifer R Mixson
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2019
- Last updated
- Jun 15, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP141880 | TX | Yes |
Practice location
6836 Bee Caves Rd # 310Austin, TX 78746-5059
Phone 512-383-5204
Mailing address
750 County Road 130Georgetown, TX 78626-2221
Phone 512-635-6200
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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