Individual provider Active NPI

Margaret Ellyn Musselman, APRN-BC

  • Family Nurse Practitioner
  • Bastrop, TX
National Provider Identifier
1174736664
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143321 Issued in TX
Practice address
909 Pecan St
Bastrop, TX 78602-3819
Phone
(512) 360-8488
Fax
(512) 253-2505
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X CP000895 SD
Family Nurse Practitioner 363LF0000X AP143321 TX Primary

Addresses

Primary practice location

909 Pecan St
Bastrop, TX 78602-3819

Mailing address

909 Pecan St
Bastrop, TX 78602-3819
Phone (151) 236-0848

Other identifiers 1

IdentifierTypeStateIssuer
11945101OtherCAQH

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL luminello Direct
CONNECT URL https://app3.luminello.com/ Direct

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
I20130131000486 TX Practitioner - Nurse Practitioner 5395792535 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey B. Warren, M.D. and Associates, P.C. Past Accepting new patients
Banyan Texas, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: margaret.musselman.1@20638.direct.athenahealth.com

Organizations & group practices 3

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1174736664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 PECAN ST",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023819",
            "telephone_number": "151-236-0848",
            "fax_number": "605-462-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 PECAN ST",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023819",
            "telephone_number": "512-360-8488",
            "fax_number": "512-253-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSELMAN",
        "first_name": "MARGARET",
        "middle_name": "ELLYN",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SD",
            "license": "CP000895",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11945101",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "luminello",
            "affiliation": "N",
            "endpointDescription": "protected EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "909 Pecan St",
            "city": "Bastrop",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786023819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app3.luminello.com/",
            "affiliation": "N",
            "endpointDescription": "Protected EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "909 Pecan St",
            "city": "Bastrop",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786023819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

Verify at the official NPI Registry.