MS. DOROTHY DARBY RN MSN ACNS ANP CCRN
NPI 1689671794
Clinical Nurse Specialist - Adult Health in Austin, TX
NPI Status: Active since July 05, 2005
Contact Information
1301 W 38TH ST
STE. 705
AUSTIN, TX
ZIP 78705
Phone: (512) 617-6000
Fax: (512) 380-0766
- Individual
- Female
- Clinical Nurse Specialist
- Adult Health
- Accepts Insurance
- PECOS Enrolled
About DOROTHY DARBY
This page provides the complete NPI Profile along with additional information for Dorothy Darby, a provider established in Austin, Texas with a medical specialization in Clinical Nurse Specialist, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1689671794 assigned on July 2005. The practitioner's primary taxonomy code is 364SA2200X with license number 539057 (TX). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1689671794
- Provider Name
- MS. DOROTHY DARBY RN MSN ACNS ANP CCRN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1301 W 38TH ST STE. 705 AUSTIN, TX 78705
- Location Phone
- (512) 617-6000
- Location Fax
- (512) 380-0766
- Mailing Address
- 5301 RIATA PARK CT BLDG D SUITE 200 AUSTIN, TX 78727
- Mailing Phone
- (512) 617-6000
- Mailing Fax
- (512) 380-0766
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-05-2005
- Last Update Date
- 01-24-2022
- Code Navigator
A Clinical Nurse Specialist (CNS) like Dorothy Darby is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Nurse Specialist Adult Health
- Taxonomy Code
- 364SA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 539057
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Clear VALUE Silver - HMO
- Complete VALUE Gold - HMO
- Focused VALUE Silver - HMO
- Focused VALUE Silver + Vision + Adult Dental - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Standard Silver VALUE + Vision + Adult Dental - HMO
- Complete VALUE Gold - HMO
- Complete VALUE Silver - HMO
- Elite VALUE Bronze - HMO
- Focused VALUE Silver - HMO
- Standard Expanded Bronze VALUE - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Bronze HDHP 7500 - EPO
- Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Texas Standard Bronze - EPO
- Moda Select Texas Standard Gold - EPO
- Moda Select Texas Standard Silver - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
- Wellpoint Essential Bronze 4000 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
- Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Wellpoint Essential Catastrophic 9200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Dorothy Darby is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 78705 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $131.95
- Minimum New Patient Price $57.88
- Maximum New Patient Price $174
- Average New Patient Copayment $32.98
- Minimum New Patient Copayment $14.47
- Maximum New Patient Copayment $43.5
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $101.65
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.23
- Average Established Patient Copayment $25.41
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.55
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 8 | 9 | 6 | 7 | 1 | 7 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 12 | 7 | 2 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 2 + 7 + 2 + 7 + 1 + 8 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1689671794 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548257371 | LYDA SWEENEY MD Individual | Obstetrics & Gynecology | 1301 W 38TH ST STE 300 AUSTIN, TX 78705 (512) 454-5721 |
| 1982683116 | HALEY KENT BEASLEY MD Individual | Specialist | 1301 W 38TH ST SUITE 601 AUSTIN, TX 78705 (512) 454-5171 |
| 1407835648 | SHELDON L MARKOWITZ MC Individual | Specialist | 1301 W 38TH ST SUITE 601 AUSTIN, TX 78705 (512) 454-5171 |
| 1003896788 | WILLIAM R WOODWARD MD Individual | Specialist | 1301 W 38TH ST SUITE 601 AUSTIN, TX 78705 (512) 454-5171 |
| 1215917679 | ADAM J SCHNEIDER MD Individual | Internal Medicine | 1301 W 38TH ST SUITE 601 AUSTIN, TX 78705 (512) 454-5171 |
| 1497728166 | DRS. MCHORSE, FOSTER AND NUTSON, L.L.P. Organization | Internal Medicine | 1301 W 38TH ST SUITE 402 AUSTIN, TX 78705 (512) 454-7453 |
| 1356300990 | STEPHANIE ANN BOOTH M.D. Individual | Specialist | 1301 W 38TH ST SUITE 110 AUSTIN, TX 78705 (512) 454-3631 |
| 1083652101 | DR. ANNE COMPEAU AMES D.P.M. Individual | Podiatrist | 1301 W 38TH ST SUITE 707 AUSTIN, TX 78705 (512) 407-8188 |
| 1790725927 | CAPITAL MEDICAL GROUP TRUST Organization | Internal Medicine | 1301 W 38TH ST SUITE 601 AUSTIN, TX 78705 (512) 454-5171 |
| 1063437838 | MATTHEW C ROBINSON M.D. Individual | Internal Medicine (Infectious Disease) | 1301 W 38TH ST SUITE 403 AUSTIN, TX 78705 (512) 459-0301 |
| 1407874027 | JACK DAULTON BISSETT M.D. Individual | Internal Medicine (Infectious Disease) | 1301 W 38TH ST SUITE 403 AUSTIN, TX 78705 (512) 459-9710 |
| 1497774020 | LISA C ELLIS M.D. Individual | Internal Medicine (Infectious Disease) | 1301 W 38TH ST SUITE 403 AUSTIN, TX 78705 (512) 459-9710 |
| 1396769543 | JAMES S. STEWART EVANS M.D. Individual | Internal Medicine (Infectious Disease) | 1301 W 38TH ST SUITE 403 AUSTIN, TX 78705 (512) 459-9710 |
| 1750393229 | THE OBGYN GROUP OF AUSTIN PA Organization | Obstetrics & Gynecology | 1301 W 38TH ST #300 AUSTIN, TX 78705 (512) 454-5721 |
| 1063514768 | DR. RICHARD THORP WEBER JR. DDS Individual | Dentist (General Practice) | 1301 W 38TH ST SUITE 708 AUSTIN, TX 78705 (512) 452-4495 |
| 1184727513 | DR. WILLIAM JOSEPH HALDEN SR. MD Individual | Pediatrics | 1301 W 38TH ST SUITE #309 AUSTIN, TX 78705 (512) 454-6767 |
| 1306912472 | MEDICAL PARK TOWER PHARMACY Organization | Pharmacist | 1301 W 38TH ST STE. 135 AUSTIN, TX 78705 (512) 454-5626 |
| 1295880813 | DR. JENNIFER ANN SHUFORD M.D. Individual | Internal Medicine (Infectious Disease) | 1301 W 38TH ST SUITE 403 AUSTIN, TX 78705 (512) 459-0301 |
| 1992908859 | MRS. CASEY GWEN FRIESENHAHN N.P. Individual | Nurse Practitioner (Women's Health) | 1301 W 38TH ST STE. 109 AUSTIN, TX 78705 (512) 451-8211 |
| 1861695728 | MRS. KELLY RENEE REAGAN N.P. Individual | Nurse Practitioner (Women's Health) | 1301 W 38TH ST STE. 109 AUSTIN, TX 78705 (512) 533-4171 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689671794, enumerated in the NPI registry as an "individual" on July 05, 2005
The provider is located at 1301 W 38th St Ste. 705 Austin, Tx 78705 and the phone number is (512) 617-6000
The provider's speciality is Clinical Nurse Specialist with taxonomy code 364SA2200X with a focus in Adult Health
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Superior. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $131.95 with an average copayment of $32.98 for new patient appointments. Established patients should expect a typical charge of $101.65 and an average copayment of 25.41. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 05, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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