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STEPHANIE POONAWALA APRN
NPI 1285034223
Nurse Practitioner in Austin, TX

Active since August 27, 2014PECOS EnrolledAccepts Medicare Assignment
3901 SPICEWOOD SPRINGS RD STE 201, SUITE 102, AUSTIN, TX 78759(512) 954-1827 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2019, Jan 22, 2019, Apr 17, 2017 (3 updates tracked since 2017).

About Stephanie Poonawala Aprn NPPES

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

STEPHANIE POONAWALA APRN (NPI 1285034223) is an individual nurse practitioner in Austin, Texas, licensed in Kentucky (3012625) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1285034223
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTEPHANIE POONAWALACredential: APRN
Location Address3901 SPICEWOOD SPRINGS RD STE 201, SUITE 102Austin, TX 78759-8723
Mailing Address3901 Spicewood Springs Rd Ste 201, Suite 102Austin, TX 78759-8723 · (512) 954-1827
Phone(512) 954-1827
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 27, 2014
Last NPPES UpdateMarch 26, 20243 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1285034223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3012625
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP126047 (TX)
3901 SPICEWOOD SPRINGS RD STE 201, Austin, TX 78759
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Stephanie Poonawala 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 ID8820219769
PECOS Enrollment IDI20190823000725
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
28 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services15 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78759 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
82%28 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers41 claims41 services$18.46 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers33 claims33 services$95.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

MS. CHLOE MAE WILSON NP
Nurse Practitioner (Acute Care)
3901 SPICEWOOD SPRINGS RD STE 201
AUSTIN, TX 78759
Travis County (737) 226-6700
MARY V ARNTZ FNP-C
Nurse Practitioner (Family)
3901 SPICEWOOD SPRINGS RD STE 201
AUSTIN, TX 78759
Travis County (843) 364-1982
ERIN RAY
Nurse Practitioner (Family)
3901 SPICEWOOD SPRINGS RD STE 201
AUSTIN, TX 78759
Travis County (737) 226-6700

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 Stephanie Poonawala's NPI number?

The NPI number for Stephanie Poonawala is 1285034223. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Where is Stephanie Poonawala located?

Stephanie Poonawala practices at 3901 Spicewood Springs Rd Ste 201 Suite 102, Austin, TX 78759. The listed phone number is (512) 954-1827.

What is Stephanie Poonawala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stephanie Poonawala enrolled in Medicare?

Yes. Stephanie Poonawala 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 Stephanie Poonawala accept?

Health plans from Blue Cross and Blue Shield of Texas list Stephanie Poonawala 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.

Is Stephanie Poonawala affiliated with any hospitals?

According to CMS data, Stephanie Poonawala is affiliated with Saint Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Poonawala was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.