SOUMYA MOHANAN (NURSE PRACTITIONER) – Acute Care Nurse Practitioner, NPI 1255971214

SOUMYA MOHANAN (NURSE PRACTITIONER) is a healthcare provider. based in Round rock, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 32922 (TX). The NPI Number for SOUMYA MOHANAN (NURSE PRACTITIONER) is 1255971214

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SOUMYA MOHANAN (NURSE PRACTITIONER)
NPI
1255971214
Phone
(512) 966-3625
Address
112 BRISA BEND WAY
Enumeration Date
8 January 2020
Last Update Date
8 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5126711100
Graduation Year
2019 (7 years ago)
PAC ID
6406283233
Group Practice PAC ID
8325289812
Professional Enrollment ID
I20200217003418
Address ID
TX786651526RO4681XPARK300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for SOUMYA MOHANAN (NURSE PRACTITIONER)

  • 112 BRISA BEND WAY

    ROUND ROCK, TX 786811781

    Phone: (512) 966-3625

    Type: Mailing

  • 2400 ROUND ROCK AVE

    ROUND ROCK, TX 786814004

    Phone: (512) 341-1000

    Type: Location

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: 2020-02-17

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
I20200217003418INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes16030$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4241$0
View full utilization report →

Insurance plans in this area (ZIP 78681)

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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: 8325289812View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Certified Clinical Nurse Specialist (Cns)TX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX

Reviews

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Frequently asked questions

How do I look up SOUMYA MOHANAN (NURSE PRACTITIONER) by NPI?
Use NPI 1255971214 when you need to reference SOUMYA MOHANAN (NURSE PRACTITIONER) in forms, claims, or directories.
Is SOUMYA MOHANAN (NURSE PRACTITIONER) currently active in the NPI registry?
CMS-published data lists SOUMYA MOHANAN (NURSE PRACTITIONER) as an active registrant.
Does SOUMYA MOHANAN (NURSE PRACTITIONER) list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for SOUMYA MOHANAN (NURSE PRACTITIONER). Clinical services aligned with this taxonomy classification.
Where is SOUMYA MOHANAN (NURSE PRACTITIONER)'s primary listing?
We display Round Rock, Texas because that is what the record indicates for SOUMYA MOHANAN (NURSE PRACTITIONER).
How can I contact SOUMYA MOHANAN (NURSE PRACTITIONER)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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