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ERIN ZAPALAC NP
NPI 1316446818
Nurse Practitioner - Acute Care in Austin, TX

Active since February 09, 2018PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1201 W 38TH ST, AUSTIN, TX 78705(512) 324-1000 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Erin Zapalac Np NPPES

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

ERIN ZAPALAC NP (NPI 1316446818) is an individual acute care provider in Austin, Texas, licensed in Texas (AP135568) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1316446818
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameERIN ZAPALACCredential: NP
Location Address1201 W 38TH STAustin, TX 78705-1006
Mailing Address1500 Woodlawn Blvd Apt 10Austin, TX 78703-3347 · (414) 559-2953
Phone(512) 324-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 9, 2018
Last NPPES UpdateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
✔ NPI 1316446818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · AP135568
1201 W 38TH ST, Austin, TX 78705
Open in Google Maps ↗

Secondary Practice Location 1

Location 112221 N Mopac ExpyAustin, TX 78758-2401 · Phone (512) 901-1000

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erin Zapalac Np 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 ID5193080489
PECOS Enrollment IDI20180608000365
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Erin Zapalac reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Seton Family Of Doctors
2.0 mi
Neurological Surgery
1601 TRINITY ST STOP 704
Austin, TX 78712
  • Reassigned Medicare billing, Texas enrollment
  • 1,188 clinicians in this Medicare group
NPI 1588997233 (512) 324-8300
Ipc Healthcare Services Of Texas, PLLC
71 mi
Hospitalist
7330 SAN PEDRO AVE, STE 540
San Antonio, TX 78216
  • Reassigned Medicare billing, Texas enrollment
  • 688 clinicians in this Medicare group
NPI 1023403011 (210) 344-7287
Lonestar Hospital Medicine Associates, PA
161 mi
Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group
NPI 1518237429 (682) 622-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.
73 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Advance Care Plan
20%137 patients1/55-star benchmark: 100%
Breast Cancer Screening
30%44 patients2/55-star benchmark: 93%
Cervical Cancer Screening
16%25 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
24%100 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
80%103 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
79%56 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
90%20 patients4/55-star benchmark: 99%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
0%22 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
5%21 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
86%21 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%310 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
5%137 patients1/55-star benchmark: 100%
HIV Screening
5%64 patients1/55-star benchmark: 60%
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
9%70 patients1/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%180 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
90%175 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
26%117 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 185 patients
97%185 patients
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 41% · 70 patients
40%70 patients
Provide Patients Electronic Access to Their Health Information
76%86 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
17%66 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%120 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 134 patients
Patients totalRate: 1% · 134 patients
1%134 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.

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.

PRIYANKA GURRU
Psychiatry & Neurology (Neurology)
1201 W 38TH ST
AUSTIN, TX 78705
Travis County (512) 495-5555
MRS. JESSICA WILLS FNP-C
Nurse Practitioner (Family)
1201 W 38TH ST
AUSTIN, TX 78705
Travis County (512) 324-1000
CHLOE CULLEN RN
Registered Nurse (Critical Care Medicine)
1201 W 38TH ST
AUSTIN, TX 78705
Travis County (512) 324-1000
THERESA CAROLINE THORNHILL
Nurse Practitioner (Neonatal)
1201 W 38TH ST
AUSTIN, TX 78705
Travis County (512) 324-1085
DR. DONALD KYLE KELLEY M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1201 W 38TH ST, NEONATAL OFFICE
AUSTIN, TX 78705
Travis County (512) 324-1086
STEPHANIE BRIOUX
Nurse Practitioner
1201 W 38TH ST
AUSTIN, TX 78705
Travis County (512) 324-1000
KYLE ALEXANDER SCHWARTZ PA-C
Physician Assistant
1201 W 38TH ST
AUSTIN, TX 78705
Travis County (512) 324-1000
DR. MELODY S NGUYEN DNP, APRN CPNP-PC
Nurse Practitioner (Pediatrics)
1201 W 38TH ST
AUSTIN, TX 78705
Travis County (512) 324-1000

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 Erin Zapalac's NPI number?

The NPI number for Erin Zapalac is 1316446818. It was assigned to this individual provider in the NPPES registry on February 9, 2018.

Where is Erin Zapalac located?

Erin Zapalac practices at 1201 W 38th St, Austin, TX 78705. The listed phone number is (512) 324-1000.

What is Erin Zapalac's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Erin Zapalac enrolled in Medicare?

Yes. Erin Zapalac 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.

Which organizations bill Medicare for Erin Zapalac's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Zapalac reassigns Medicare benefits to 3 organizations: Seton Family Of Doctors (Austin, TX), Ipc Healthcare Services Of Texas, PLLC (San Antonio, TX) and Lonestar Hospital Medicine Associates, PA (Mansfield, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erin Zapalac's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erin Zapalac 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 5 other insurers list Erin Zapalac 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 Erin Zapalac was last updated on March 31, 2021. 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.