Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Donna Marie Prokop-Fettig, PA-C

Individual provider Medical Physician Assistant · NPI 1013153147

Donna Marie Prokop-Fettig, PA-C is a Physician Assistant in Round Rock, Texas. Qualified in 2008, 18 years ago. Practices with ACO Jason Martin Medical Consulting, a 28-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
18
Licensed in
TX
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1201 Sam Bass Rd
Round Rock, TX 78681-4137
Phone: (512) 388-1861
Fax: (512) 388-0373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA06103 (TX)

Record details

NPI number1013153147
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 18, 2008
Last updated in NPPESSeptember 14, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Aco Jason Martin Medical Consulting — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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