MS. MARY GRACE LONGNO POWELL (PA-C) – Physician Assistant, NPI 1245601327

MS. MARY GRACE LONGNO POWELL (PA-C) is a healthcare provider. based in Austin, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MS. MARY GRACE LONGNO POWELL (PA-C) is 1245601327

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARY GRACE LONGNO POWELL (PA-C)
NPI
1245601327
Phone
(512) 271-5680
Address
3906 N Lamar Blvd
Enumeration Date
14 October 2015
Last Update Date
26 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5128618055
Graduation Year
2015 (11 years ago)
PAC ID
4385945989
Group Practice PAC ID
4284918418
Professional Enrollment ID
I20151228001321
Address ID
TX787041549AU517XXBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:10State licenses:0Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MS. MARY GRACE LONGNO POWELL (PA-C)

  • 3906 N Lamar Blvd

    Austin, TX 787561930

    Phone: (512) 271-5680

    Type: Location

  • 517 S LAMAR BLVD STE B

    AUSTIN, TX 787041549

    Phone: (512) 861-8055

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-12-28

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
I20151228001321IPhysician AssistantTXTBD

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
99204New patient office or other outpatient visit, 45-59 minutes3131$0
99214Established patient office or other outpatient visit, 30-39 minutes2220$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1312$0
View full utilization report →

Insurance plans in this area (ZIP 78756)

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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: 4284918418View full group profile
NameSpecialtyState
-TX
Physician AssistantTX
Sports Medicine, Family PracticeTX
Family PracticeTX
-TX
-TX
Physician AssistantTX
-TX
Physician AssistantTX
Family PracticeTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for MS. MARY GRACE LONGNO POWELL (PA-C)?
MS. MARY GRACE LONGNO POWELL (PA-C) — NPI 1245601327 — is the standard way to identify this listing.
Does CMS list MS. MARY GRACE LONGNO POWELL (PA-C) as active?
Yes — MS. MARY GRACE LONGNO POWELL (PA-C) is active in the NPI listing used on this page.
What taxonomy line describes MS. MARY GRACE LONGNO POWELL (PA-C)?
For research purposes, treat MS. MARY GRACE LONGNO POWELL (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does MS. MARY GRACE LONGNO POWELL (PA-C) serve?
MS. MARY GRACE LONGNO POWELL (PA-C)'s listing highlights Austin, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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