AUTUMN LEBAKKEN FNP-C
NPI 1396677514
Nurse Practitioner in Houston, TX

Active since June 01, 2026PECOS Enrolled
1724 RICHMOND AVE, HOUSTON, TX 77098(832) 818-3900 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Autumn Lebakken Fnp-c NPPES

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

AUTUMN LEBAKKEN FNP-C (NPI 1396677514) is an individual nurse practitioner in Houston, Texas, licensed in Texas (1221569) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396677514
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAUTUMN LEBAKKENCredential: FNP-C
Location Address1724 RICHMOND AVEHouston, TX 77098-3604
Mailing Address1724 Richmond AveHouston, TX 77098-3604 · (832) 818-3900 · Fax (858) 667-6635
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 1, 2026
NPPES CertifiedJune 1, 2026
✔ NPI 1396677514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1221569
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.
1724 RICHMOND AVE, Houston, TX 77098

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Autumn Lebakken Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123584356
PECOS Enrollment IDI20260728005632
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 Reassignment

Medicare enrollment records show Autumn Lebakken reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Interventional Pain Medicine
1724 RICHMOND AVE
Houston, TX 77098
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77098 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 16

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

Nurse Practitioner (Psychiatric/Mental Health)
1724 RICHMOND AVE
HOUSTON, TX 77098
Nurse Practitioner (Primary Care)
1724 RICHMOND AVE
HOUSTON, TX 77098
Internal Medicine
1724 RICHMOND AVE
HOUSTON, TX 77098
Nurse Practitioner (Family)
1724 RICHMOND AVE
HOUSTON, TX 77098
Physician Assistant (Medical)
1724 RICHMOND AVE
HOUSTON, TX 77098
Pain Medicine (Interventional Pain Medicine)
1724 RICHMOND AVE
HOUSTON, TX 77098
Nurse Practitioner (Family)
1724 RICHMOND AVE
HOUSTON, TX 77098
Chiropractor
1724 RICHMOND AVE
HOUSTON, TX 77098

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 Autumn Lebakken's NPI number?

The NPI number for Autumn Lebakken is 1396677514. It was assigned to this individual provider in the NPPES registry on June 1, 2026.

Where is Autumn Lebakken located?

Autumn Lebakken practices at 1724 Richmond Ave, Houston, TX 77098. The listed phone number is (832) 818-3900.

What is Autumn Lebakken's specialty?

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

Is Autumn Lebakken enrolled in Medicare?

Yes. Autumn Lebakken is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Autumn Lebakken's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Lebakken reassigns Medicare benefits to Jscao PLLC (Houston, TX). The 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 Autumn Lebakken's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Autumn Lebakken accept?

Health plans from Blue Cross and Blue Shield of Texas list Autumn Lebakken 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 Autumn Lebakken was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.