ROUND ROCK OUTPATIENT CARE PLLC
NPI 1891549366
Nurse Practitioner - Primary Care in Cedar Park, TX

Active since April 12, 2024CLIA 45D2326194 · Waiver
1860 S LAKELINE BLVD, CEDAR PARK, TX 78613(512) 506-8503 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2024, Sep 9, 2024, Apr 12, 2024 (3 updates tracked since 2024).

About Round Rock Outpatient Care Pllc NPPES

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

ROUND ROCK OUTPATIENT CARE PLLC (NPI 1891549366) is a healthcare organization registered as a primary care in Cedar Park, Texas and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through June 26, 2027, maintains 5 additional practice locations, and lists Nicole Campbell, Director Of Patient Access, as its authorized official.

NPPES Registry Identity

NPI1891549366
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameROUND ROCK OUTPATIENT CARE PLLC
Location Address1860 S LAKELINE BLVDCedar Park, TX 78613-3872
Mailing Address1464 E Whitestone Blvd Ste 1101Cedar Park, TX 78613-9070 · (512) 506-8503
Organization SubpartNo
Authorized OfficialNicole CampbellDirector Of Patient Access · (512) 948-1752
Enumeration DateApril 12, 2024
Last NPPES UpdateOctober 25, 20243 updates tracked since enumeration
NPPES CertifiedOctober 25, 2024
✔ NPI 1891549366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
1860 S LAKELINE BLVD, Cedar Park, TX 78613

Secondary Practice Locations 5

Location 13620 E Whitestone BlvdCedar Park, TX 78613-7441 · Phone (512) 260-2732
Location 25012 Fm 620 NAustin, TX 78732-2568 · Phone (512) 851-1011
Location 38703 Bandera RdSan Antonio, TX 78250-2504 · Phone (210) 332-5460
Location 4230 Deer Ridge DrRound Rock, TX 78681-5515 · Phone (512) 766-1400
Location 51925 S A W Grimes BlvdRound Rock, TX 78664-7459 · Phone (512) 310-1900

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Round Rock Outpatient Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Round Rock Outpatient Care PLLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner8
Emergency Medicine1
Mental Health Counselor1

Clinicians, nearest first (10)

Emergency Medicine
NPI 1316935356
1464 E WHITESTONE BLVD STE 1100
Cedar Park, TX 78613
(737) 787-7809
✔ PECOS2.6 mi
Nurse Practitioner
NPI 1295224244
3620 E WHITESTONE BLVD
Cedar Park, TX 78613
(512) 260-2732
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1013754571
3620 E WHITESTONE BLVD
Cedar Park, TX 78613
(512) 260-2732
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1912872672
230 DEER RIDGE DR
Round Rock, TX 78681
(512) 766-1400
✔ PECOS✔ Accepts Medicare6.4 mi
Nurse Practitioner
NPI 1730650268
2400 ROUND ROCK AVE
Round Rock, TX 78681
(512) 341-1000
✔ PECOS✔ Accepts Medicare7.2 mi
Nurse Practitioner
NPI 1992316327
425 UNIVERSITY BLVD
Round Rock, TX 78665
(512) 509-0200
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1700415080
3313 BURCH BROOK CV
Pflugerville, TX 78660
(737) 336-5959
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1467297333
4910 MUELLER BLVD STE 102
Austin, TX 78723
(512) 777-2917
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1669076592
910 RIVER RD STE 101
Boerne, TX 78006
(830) 331-2391
✔ PECOS✔ Accepts Medicare72 mi
Mental Health Counselor
NPI 1386413714
4115 MEDICAL DR
San Antonio, TX 78229
(210) 667-8704
✔ PECOS✔ Accepts Medicare80 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 45D2326194

Round Rock Outpatient Care, PLLC · Round Rock, TX
Active · expires Jun 26, 2027
CLIA Number45D2326194
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorMarc M. Daniel
Laboratory Phone(512) 971-5928
Laboratory LocationRound Rock Outpatient Care, PLLC1925 A.W Grimes Blvd, Round Rock, TX 78664
CLIA data matches this NPI record on: Name
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 Round Rock Outpatient Care PLLC's NPI number?

The NPI number for Round Rock Outpatient Care PLLC is 1891549366. It was assigned to this organization in the NPPES registry on April 12, 2024.

Where is Round Rock Outpatient Care PLLC located?

Round Rock Outpatient Care PLLC is located at 1860 S Lakeline Blvd, Cedar Park, TX 78613. The listed phone number is (512) 506-8503.

What is Round Rock Outpatient Care PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Round Rock Outpatient Care PLLC enrolled in Medicare?

Yes. Round Rock Outpatient Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Round Rock Outpatient Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Round Rock Outpatient Care PLLC. 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. The largest specialties are Nurse Practitioner (8), Emergency Medicine (1) and Mental Health Counselor (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Round Rock Outpatient Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2326194) is associated with this NPI, valid through June 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Round Rock Outpatient Care PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Round Rock Outpatient Care PLLC 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 Round Rock Outpatient Care PLLC was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.