Individual provider Active NPI

Megan Yvette Porter

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1043841216
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01200679 Issued in TX
Practice address
11722 Marsh LN Ste 372
Dallas, TX 75229-2682
Phone
(817) 893-9200
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X F01200679 TX Primary

Addresses

Primary practice location

11722 Marsh LN Ste 372
Dallas, TX 75229-2682

Mailing address

4030 N Central Expy Apt 376
Dallas, TX 75204-3252
Phone (904) 437-2725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250207003231 TX Practitioner - Nurse Practitioner 6406386275 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Legacy Urgent Care PAGroup PAC ID 3072679828, 157 clinicians
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

211 W Frontier Pkwy
Prosper, TX 75078-3751
Phone (469) 868-9100

4709 W Parker Rd
Suite 500
Plano, TX 75093-3382
Phone (469) 974-0565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F01200679TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC Multi-Specialty CurrentSince Dec 9, 2024 Accepting new patients
Innovative Infusions, LLC Multi-Specialty CurrentSince Dec 9, 2024 Accepting new patients

Locations

200 N Mesquite St
Ste 115
Arlington, TX 76011
Phone (817) 200-2530

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

4710 Bellaire Blvd
Ste 340
Bellaire, TX 77401
Phone (713) 860-1755

113 E State Highway 121
Ste 110
Coppell, TX 75019
Phone (469) 946-6577

11317 N Central Expy
Ste 100
Dallas, TX 75243
Phone (972) 408-2777

1650 W Rosedale St
Ste 220
Fort Worth, TX 76104
Phone (682) 312-4038

3033 W President George Bush Hwy
Ste 100
Plano, TX 75075
Phone (877) 365-5566

4709 W Parker Rd
Ste 500
Plano, TX 75093
Phone (469) 974-0565

7560 Glenview Dr
Ste 110
Richland Hills, TX 76180
Phone (817) 284-2700

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1043841216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 N CENTRAL EXPY APT 376",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043252",
            "telephone_number": "904-437-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11722 MARSH LN STE 372",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752292682",
            "telephone_number": "817-893-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MEGAN",
        "middle_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F01200679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.