COLLIN MICHAEL DORNER – Acute Care Nurse Practitioner, NPI 1275358350

COLLIN MICHAEL DORNER is a healthcare provider. based in Austin, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1186486 (TX). The NPI Number for COLLIN MICHAEL DORNER is 1275358350

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
COLLIN MICHAEL DORNER
NPI
1275358350
Phone
Not provided
Address
3705 MEDICAL PKWY STE 320
Enumeration Date
22 November 2024
Last Update Date
21 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5124540392
Graduation Year
2024 (2 years ago)
PAC ID
4587187182
Group Practice PAC ID
5496668238
Professional Enrollment ID
I20250324003804
Address ID
TX787051023AU3705XPKWY302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for COLLIN MICHAEL DORNER

  • 3705 MEDICAL PKWY STE 320

    AUSTIN, TX 787051023

    Phone:

    Mailing address matches the actual address.

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: 2025-03-24

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
I20250324003804INurse 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 78705)

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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: 5496668238View full group profile
NameSpecialtyState
Physician AssistantOK
Qualified AudiologistCO
Physician AssistantTX
Qualified AudiologistTX
Qualified AudiologistTX
O T O L A R Y N G O L O G YTX
Physician AssistantTX
Qualified AudiologistTX
Qualified Speech Language PathologistTX
Physician AssistantTX

Reviews

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Frequently asked questions

Can I verify COLLIN MICHAEL DORNER with an NPI only?
You can start verification with NPI 1275358350 for COLLIN MICHAEL DORNER, then check state licensing separately.
Does CMS list COLLIN MICHAEL DORNER as active?
Yes — COLLIN MICHAEL DORNER is active in the NPI listing used on this page.
What is COLLIN MICHAEL DORNER best known for clinically?
Directory data describes COLLIN MICHAEL DORNER with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is COLLIN MICHAEL DORNER based?
COLLIN MICHAEL DORNER is tied to Austin, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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