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AMBILI PRATHEEP APRN
NPI 1215780036
Nurse Practitioner - Family in Round Rock, TX

Active since April 10, 2024PECOS EnrolledAccepts Medicare Assignment
201 SETON PKWY, ROUND ROCK, TX 78665(512) 324-4400 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ambili Pratheep Aprn NPPES

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

AMBILI PRATHEEP APRN (NPI 1215780036) is an individual family provider in Round Rock, Texas, licensed in Texas (1157119) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215780036
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMBILI PRATHEEPCredential: APRN
Location Address201 SETON PKWYRound Rock, TX 78665-8000
Mailing Address1458 Hargis Creek TrlAustin, TX 78717-2977 · (718) 427-3614
Phone(512) 324-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 10, 2024
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1215780036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1157119
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1157119 (TX)
201 SETON PKWY, Round Rock, TX 78665
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Ambili Pratheep Aprn 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 ID8224570130
PECOS Enrollment IDI20240606003395
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 4

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
40 services20 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
27 services15 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
17 services17 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78665 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 20

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

KATJA PRIESTER IBCLC
Lactation Consultant, Non-RN
201 SETON PKWY
ROUND ROCK, TX 78665
Williamson County (512) 324-4000
DR. JODIE L PEPIN PHARMD
Pharmacist (Pharmacotherapy)
201 SETON PKWY, SETON MEDICAL CENTER WILLIAMSON
ROUND ROCK, TX 78665
Williamson County (512) 324-4000
WILLIAM J. REITMEYER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
201 SETON PKWY, SETON MEDICAL CENTER WILLIAMSON
ROUND ROCK, TX 78665
Williamson County (512) 814-0298
SAYF YASSIN M.D.
Internal Medicine
201 SETON PKWY
ROUND ROCK, TX 78665
Williamson County (512) 324-4170
PAULA GILHEANY ACNP-BC
Nurse Practitioner (Acute Care)
201 SETON PKWY
ROUND ROCK, TX 78665
Williamson County (512) 324-4000
MRS. ABIGAIL RUTH JAEGER
Nurse Practitioner (Acute Care)
201 SETON PKWY
ROUND ROCK, TX 78665
Williamson County (512) 324-4000
KAITLYN N. STEININGER PA-C
Physician Assistant
201 SETON PKWY
ROUND ROCK, TX 78665
Williamson County (512) 324-4170
BRITTNI MARIE ARRIGOTTI
Physician Assistant (Surgical)
201 SETON PKWY
ROUND ROCK, TX 78665
Williamson County (512) 324-4000

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 Ambili Pratheep's NPI number?

The NPI number for Ambili Pratheep is 1215780036. It was assigned to this individual provider in the NPPES registry on April 10, 2024.

Where is Ambili Pratheep located?

Ambili Pratheep practices at 201 Seton Pkwy, Round Rock, TX 78665. The listed phone number is (512) 324-4400.

What is Ambili Pratheep's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ambili Pratheep enrolled in Medicare?

Yes. Ambili Pratheep 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 Ambili Pratheep accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Ambili Pratheep 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 Ambili Pratheep was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.