Individual provider Active NPI

Megan Breanne Rossman, PA-C

  • Physician Assistant
  • Midland, TX
National Provider Identifier
1164032280
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15014 Issued in TX
Practice address
302 Secor St
Midland, TX 79701-6343
Phone
(432) 685-5029
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X PA15014 TX
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA15014 TX Primary

Addresses

Primary practice location

302 Secor St
Midland, TX 79701-6343

Mailing address

302 Secor St
Midland, TX 79701-6343
Phone (432) 685-5029

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
I20251201002945 TX Practitioner - Physician Assistant 6800389628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5323 Harry Hines Blvd
Dallas, TX 75390-7208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15014TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Single Specialty Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 20, 2025 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 20, 2025 Accepting new patients
Gupta and Gupta Pediatrics MD PA Single Specialty PastSince Dec 18, 2022 Accepting new patients

Locations

1935 Medical District Dr
Ste EL171
Dallas, TX 75235

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: megan.spradley.1@16819.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16819/brand/1/csg/1/fhir/r4

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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1164032280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SECOR ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016343",
            "telephone_number": "432-685-5029",
            "fax_number": "432-201-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SECOR ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016343",
            "telephone_number": "432-685-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSMAN",
        "first_name": "MEGAN",
        "middle_name": "BREANNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2023-05-02",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "PA15014",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.