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Kirstin Brooke Harrell

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

4700 Seton Center Pkwy Ste 200, Austin, TX 78759-4107

PECOS Enrollment

This provider is enrolled in PECOS as KIRSTIN HARRELL.

Based on the most recent information from CMS, provider Kirstin Brooke Harrell is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1063767341
Provider Type
Individual
Full Name
Harrell, Kirstin Brooke
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/23/2012
Last Updated
3/7/2025

Contact Information

Practice Location

4700 Seton Center Pkwy Ste 200, Austin, TX 78759-4107

(512) 439-1000

Unlisted Fax

Mailing Location

4700 Seton Center Pkwy Ste 200, Austin, TX 78759-4107

(512) 439-1000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AS0400X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA07861 Texas
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 021740 New York

Kirstin Brooke Harrell

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

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