SUMMER URBANCZYK – Nurse Practitioner, NPI 1013469147

SUMMER URBANCZYK is a healthcare provider. based in Austin, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP132003 (TX). The NPI Number for SUMMER URBANCZYK is 1013469147

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
SUMMER URBANCZYK
NPI
1013469147
Phone
(512) 409-9903
Address
4207 JAMES CASEY ST STE 111
Enumeration Date
24 October 2016
Last Update Date
12 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5124099903
Graduation Year
2016 (10 years ago)
PAC ID
5193007219
Group Practice PAC ID
7911242961
Professional Enrollment ID
I20170126000330
Address ID
TX786137763CE1401XPKWY301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for SUMMER URBANCZYK

  • 4207 JAMES CASEY ST STE 111

    AUSTIN, TX 787453362

    Phone: (512) 409-9903

    Fax: (918) 493-3304

    Type: Mailing

  • 2000 S MAYS ST STE 201

    ROUND ROCK, TX 786647580

    Phone: (512) 244-4272

    Type: Mailing

  • 1502 Blue Ridge Dr Ste 301

    Georgetown, TX 786261002

    Phone: (512) 409-9903

    Type: Location

  • 5615 Kyle Center Dr

    Kyle, TX 786406553

    Phone: (512) 409-9903

    Type: Location

  • 1401 Medical Parkway Building 1

    Suite 412

    Cedar Park, TX 78613

    Phone: (512) 409-9903

    Type: Location

  • 1780, West McDermott Drive, Allen, Collin County, Texas, 75013, United States

    STE 200

    ALLEN, TX 750133361

    Phone: (972) 954-1471

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $2,459.

Total Amount is formed as General ($2,459) + Research ($0) + Ownership ($0) = $2,459.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Abbott Laboratories ($2,407).

Total Amount

$2,459

General + Research + Ownership

Payments

30

Total payment records

General Amount

$2,459

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170126000330INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78745)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911242961View full group profile
NameSpecialtyState
General SurgeryTX
Nurse PractitionerOK
-OK
Physician AssistantOK
Addiction Medicine, Internal MedicineOK
N E U R O S U R G E R YTX
Physician AssistantTX
Internal Medicine, PsychiatryOK
N E U R O S U R G E R YFL
N E U R O S U R G E R YOK

Reviews

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Frequently asked questions

What number should I use to identify SUMMER URBANCZYK for billing?
Administrative and clinical systems typically use NPI 1013469147 for SUMMER URBANCZYK.
Does the public listing show SUMMER URBANCZYK as active?
SUMMER URBANCZYK's NPI record reflects an active status in NPPES.
What services align with SUMMER URBANCZYK's listing?
SUMMER URBANCZYK's public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SUMMER URBANCZYK tied to Austin, Texas?
If you are local to Austin, Texas, SUMMER URBANCZYK may be relevant to your search.
Can I export SUMMER URBANCZYK's record?
You can download the official NPPES record; we summarize key fields for readability.

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