Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elise Gonul Kacan, PA

Individual provider Physician Assistant · NPI 1093434367

Elise Gonul Kacan, PA is a Physician Assistant in Lakeway, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 2024, 2 years ago. Practices with South Austin Family Practice Clinic, PLLC, a 64-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
2
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

101 Medical Pkwy Ste 220
Lakeway, TX 78738-5649
Phone: (512) 814-1984
Fax: (855) 270-9668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (TX)

Record details

NPI number1093434367
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 22, 2022
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice South Austin Family Practice Clinic, Pllc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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