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CLAIRE FRANCES HILL APRN, PMHNP
NPI 1033722129
Nurse Practitioner - Psychiatric/Mental Health in Austin, TX

Active since August 28, 2020PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
1515 S CAPITAL OF TEXAS HWY, AUSTIN, TX 78746(651) 235-9890 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Claire Frances Hill Aprn, Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLAIRE FRANCES HILL APRN, PMHNP (NPI 1033722129) is an individual psychiatric/mental health provider in Austin, Texas, licensed in Texas (1010837) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1033722129
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCLAIRE FRANCES HILLCredential: APRN, PMHNP
Location Address1515 S CAPITAL OF TEXAS HWYAustin, TX 78746-6579
Mailing Address3306 Werner AveAustin, TX 78722-2246 · (651) 235-9890
Phone(651) 235-9890
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 27, 2020
✔ NPI 1033722129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1010837
1515 S CAPITAL OF TEXAS HWY, Austin, TX 78746
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Claire Frances Hill Aprn, Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214357623
PECOS Enrollment IDI20230217000651
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78746 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAROLYN COLE BREAZEALE D.C.
Chiropractor
1515 S CAPITAL OF TEXAS HWY, SUITE 220
AUSTIN, TX 78746
Travis County (512) 328-3881
EMILY DRUE ROBERTS MA, LPC
Counselor
1515 S CAPITAL OF TEXAS HWY, SUITE 300
AUSTIN, TX 78746
Travis County (512) 736-6743
DR. PAUL QUENTIN BREAZEALE D.C.
Chiropractor
1515 S CAPITAL OF TEXAS HWY, SUITE 220
AUSTIN, TX 78746
Travis County (512) 328-3881
TYSON DAVIS
Psychologist (Clinical)
1515 S CAPITAL OF TEXAS HWY, STE 200
AUSTIN, TX 78746
Travis County (512) 767-1136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Claire Hill's NPI number?

The NPI number for Claire Hill is 1033722129. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Claire Hill located?

Claire Hill practices at 1515 S Capital Of Texas Hwy, Austin, TX 78746. The listed phone number is (651) 235-9890.

What is Claire Hill's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Claire Hill enrolled in Medicare?

Yes. Claire Hill is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Claire Hill accept?

Health plans from Community Health Choice and Sanford Health Plan list Claire Hill as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Claire Hill was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.