NELLY VELASQUEZ MD PA
NPI 1790953271
Family Medicine in Austin, TX

Active since February 18, 2008CLIA 45D1028105 · Waiver
900 E 30TH ST STE 205, AUSTIN, TX 78705(512) 236-1100(512) 236-1128 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nelly Velasquez Md Pa NPPES

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

NELLY VELASQUEZ MD PA (NPI 1790953271) is a healthcare organization registered as a family medicine in Austin, Texas and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Nelly Del Carmen Velasquez, President, as its authorized official.

NPPES Registry Identity

NPI1790953271
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNELLY VELASQUEZ MD PA
Location Address900 E 30TH ST STE 205Austin, TX 78705
Mailing Address900 E 30th St Ste 205Austin, TX 78705-3378 · (512) 236-1100 · Fax (512) 236-1128
Fax(512) 236-1128
Organization SubpartNo
Authorized OfficialNelly Del Carmen VelasquezPresident · (512) 236-1100
Enumeration DateFebruary 18, 2008
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1790953271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L8547
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
900 E 30TH ST STE 205, Austin, TX 78705

Other Identifiers 1

Medicaid165096201TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nelly Velasquez Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nelly Velasquez MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1619955218
900 E 30TH ST STE 205
Austin, TX 78705
(512) 236-1100
✔ PECOS✔ Accepts Medicare1.3 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1028105

Nelly Velasquez MD PA · Austin, TX
Active · expires Jul 19, 2028
CLIA Number45D1028105
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorNelly Velasquez
Laboratory Phone(512) 236-1100
Laboratory LocationNelly Velasquez MD PA900 E 30th Suite 200, Austin, TX 78705
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Nelly Velasquez MD PA's NPI number?

The NPI number for Nelly Velasquez MD PA is 1790953271. It was assigned to this organization in the NPPES registry on February 18, 2008.

Where is Nelly Velasquez MD PA located?

Nelly Velasquez MD PA is located at 900 E 30th St Ste 205, Austin, TX 78705. The listed phone number is (512) 236-1100.

What is Nelly Velasquez MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nelly Velasquez MD PA enrolled in Medicare?

Yes. Nelly Velasquez MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nelly Velasquez MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Nelly Velasquez MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nelly Velasquez MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1028105) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nelly Velasquez MD PA accept?

Health plans from Moda Health Plan, Inc. list Nelly Velasquez MD PA 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 Nelly Velasquez MD PA was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.