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PHYLLIS MCANELLY BARRON RN, APRN, FNPC
NPI 1598757791
Nurse Practitioner - Family in Austin, TX

Active since August 16, 2005PECOS Enrolled
72.52/100
CMS Quality Rating
601 E 15TH ST, AUSTIN, TX 78701(512) 324-8933 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2017, Nov 9, 2016 (2 updates tracked since 2016).

About Phyllis Mcanelly Barron Rn, Aprn, Fnpc NPPES

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

PHYLLIS MCANELLY BARRON RN, APRN, FNPC (NPI 1598757791) is an individual family provider in Austin, Texas, licensed in Texas (AP109494) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598757791
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePHYLLIS MCANELLY BARRONCredential: RN, APRN, FNPC
Location Address601 E 15TH STAustin, TX 78701-1930
Mailing Address4616 W Howard LnAustin, TX 78728-6300 · (512) 324-1152 · Fax (512) 324-3309
Phone(512) 324-8933
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateMarch 24, 20172 updates tracked since enumeration
✔ NPI 1598757791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP109494
601 E 15TH ST, Austin, TX 78701
Open in Google Maps ↗

Other Identifiers 5

Other8N6034TX · Bcbs
Medicaid166465802TX
Medicare PIN546174YMGJTX
Medicaid166465801TX
Medicare UPINS91408

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 (PECOS)

Phyllis Mcanelly Barron Rn, Aprn, Fnpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
286 services62 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
152 services41 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
40 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78701 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

Documentation of Current Medications in the Medical Record
1%245 patients1/55-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.

PREETI VENKATRAMAN M.B.B.S.
Hospitalist
601 E 15TH ST
AUSTIN, TX 78701
Travis County (512) 324-7000
DR. CHAD ALAN HOOTEN MD
Psychiatry & Neurology (Psychiatry)
601 E 15TH ST
AUSTIN, TX 78701
Travis County (512) 324-2000
SETON HOSPITALIST SERVICE
Internal Medicine
601 E 15TH ST
AUSTIN, TX 78701
Travis County (512) 324-7000
DR. JOHN EDWARD MORAN III M.D.
Internal Medicine
601 E 15TH ST, UT DELL MEDICAL SCHOOL INTERNAL MEDICINE
AUSTIN, TX 78701
Travis County (512) 324-7000
CHRISTOPHER ZIEBELL M.D.
Emergency Medicine (Emergency Medical Services)
601 E 15TH ST
AUSTIN, TX 78701
Travis County (512) 324-7030
SARAH EGGERS ACNS-BC
Clinical Nurse Specialist (Adult Health)
601 E 15TH ST
AUSTIN, TX 78701
Travis County (512) 324-8933
BCEP, PA
Emergency Medicine
601 E 15TH ST
AUSTIN, TX 78701
Travis County (512) 324-7000
MR. TRAVIS PIPKIN N.P.
Nurse Practitioner
601 E 15TH ST
AUSTIN, TX 78701
Travis County (512) 324-7000

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 Phyllis Barron's NPI number?

The NPI number for Phyllis Barron is 1598757791. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Phyllis Barron located?

Phyllis Barron practices at 601 E 15th St, Austin, TX 78701. The listed phone number is (512) 324-8933.

What is Phyllis Barron's specialty?

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

Is Phyllis Barron enrolled in Medicare?

Yes. Phyllis Barron is registered in the Medicare PECOS enrollment system.

What insurance does Phyllis Barron accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Phyllis Barron 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 Phyllis Barron was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.