Doctor profile · Federal record
Dr. Nerisa Soeharto, PA-C
Physician Assistant · Austin, TX
- NPI 1770360588
- Accepts Medicare
- 3 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
3110 Guadalupe St Ste 100
Austin, TX 787052858
(512) 675-1359 - Additional location
-
2000 S I-35 Frontage RD Suite N-5
Round Rock, TX 78681
(512) 729-3138 - Additional location
-
709 E Slaughter Ln Ste 404
Austin, TX 787442156
(512) 277-6643
Credentials & registration
- NPI registered
- September 2023 — 3 yrs on file
- Profile last updated
- April 9, 2024
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770360588. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$170
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bioventus LLC | 2 | $170.49 |
By nature of payment
Frequently asked questions
What is Dr. Nerisa Soeharto's medical specialty?
Dr. Nerisa Soeharto practices Physician Assistant in Austin, TX.
Where does Dr. Nerisa Soeharto practice?
Dr. Nerisa Soeharto practices at 3110 Guadalupe St Ste 100, Austin, TX 787052858. Office phone: 5126751359.
What is Dr. Nerisa Soeharto's NPI?
Dr. Nerisa Soeharto's National Provider Identifier (NPI) is 1770360588, issued by NPPES.
Does Dr. Nerisa Soeharto accept Medicare assignment?
Yes. Dr. Nerisa Soeharto accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.