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

Individual provider Physician Assistant · NPI 1538147533

Michelle Antoinette Pruett, PAC is a Physician Assistant in Austin, Texas. Qualified in 2001, 25 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
25
Licensed in
TX
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

5625 Eiger Rd
Austin, TX 78735-8976
Phone: (512) 892-7076
Fax: (512) 899-8460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA03096 (TX)

Record details

NPI number1538147533
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 9, 2006
Last updated in NPPESFebruary 11, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 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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