JUSTINE SELF (FNP) – Family Nurse Practitioner, NPI 1104303205

JUSTINE SELF (FNP) is a healthcare provider. based in Round rock, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP138188 (TX). The NPI Number for JUSTINE SELF (FNP) is 1104303205

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JUSTINE SELF (FNP)
NPI
1104303205
Phone
(512) 671-1100
Address
4681 COLLEGE PARK
Enumeration Date
23 July 2018
Last Update Date
23 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5127304800
Graduation Year
2018 (8 years ago)
PAC ID
7315290954
Group Practice PAC ID
6507133584
Professional Enrollment ID
I20181029000351
Address ID
TX787048095AU330XXBLVD500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for JUSTINE SELF (FNP)

  • 4681 COLLEGE PARK

    ROUND ROCK, TX 786651526

    Phone: (512) 671-1100

    Type: Location

  • North Mopac Expressway, Austin, Travis County, Texas, 78703, United States

    AUSTIN, TX 78731

    Phone: (512) 482-0045

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2023-05-17 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($124).

Total Amount

$124

General + Research + Ownership

Payments

1

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-17

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: 2018-10-29

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
I20181029000351INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,205238$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes905218$0
99497Advance care planning, first 30 minutes186156$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes119109$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6966$0
View full utilization report →

Insurance plans in this area (ZIP 78665)

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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: 6507133584View full group profile

Reviews

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Frequently asked questions

What is JUSTINE SELF (FNP)'s NPI number?
JUSTINE SELF (FNP)'s NPI is 1104303205 — the number used across U.S. healthcare to identify this provider.
Is JUSTINE SELF (FNP) shown as active in public data?
Registry records indicate JUSTINE SELF (FNP) maintains an active NPI.
What clinical focus is listed for JUSTINE SELF (FNP)?
At a glance, JUSTINE SELF (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is JUSTINE SELF (FNP) registered?
Use Round Rock, Texas as the headline location for JUSTINE SELF (FNP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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