SUNAINA SETHI
NPI 1528928827
Nurse Practitioner in Austin, TX

Active since November 18, 2025PECOS EnrolledAccepts Medicare Assignment
1201 W 38TH ST, AUSTIN, TX 78705(512) 324-1000 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 11, 2026, Nov 18, 2025 (2 updates tracked since 2025).

About Sunaina Sethi NPPES

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

SUNAINA SETHI (NPI 1528928827) is an individual nurse practitioner in Austin, Texas, licensed in Texas (1231321) and active in the NPI registry since November 2025. The provider is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1528928827
Entity TypeIndividual
Primary Taxonomy363L00000X
Provider Legal NameSUNAINA SETHI
Location Address1201 W 38TH STAustin, TX 78705-1006
Mailing Address3625 Aquamarine DrRound Rock, TX 78681-2447 · (512) 419-8135
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 18, 2025
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1528928827 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 TX · 1231321
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.
1201 W 38TH ST, Austin, TX 78705

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

Sunaina Sethi 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 ID7113491788
PECOS Enrollment IDI20260706000398
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.

Hospital Affiliations CMS Care Compare

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

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.

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.

Psychiatry & Neurology (Neurology)
1201 W 38TH ST
AUSTIN, TX 78705
Nurse Practitioner (Family)
1201 W 38TH ST
AUSTIN, TX 78705
Registered Nurse (Critical Care Medicine)
1201 W 38TH ST
AUSTIN, TX 78705
Nurse Practitioner (Neonatal)
1201 W 38TH ST
AUSTIN, TX 78705
Pediatrics (Neonatal-Perinatal Medicine)
1201 W 38TH ST, NEONATAL OFFICE
AUSTIN, TX 78705
Nurse Practitioner
1201 W 38TH ST
AUSTIN, TX 78705
Physician Assistant
1201 W 38TH ST
AUSTIN, TX 78705
Nurse Practitioner (Pediatrics)
1201 W 38TH ST
AUSTIN, TX 78705

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 Sunaina Sethi's NPI number?

The NPI number for Sunaina Sethi is 1528928827. It was assigned to this individual provider in the NPPES registry on November 18, 2025.

Where is Sunaina Sethi located?

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

What is Sunaina Sethi's specialty?

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

Is Sunaina Sethi enrolled in Medicare?

Yes. Sunaina Sethi 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.

Is Sunaina Sethi affiliated with any hospitals?

According to CMS data, Sunaina Sethi is affiliated with Ascension Seton Medical Center Austin.

When was this NPI record last updated?

The NPPES record for Sunaina Sethi was last updated on May 11, 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.