Active NPI
Margaret Ellyn Musselman, APRN-BC
- Family Nurse Practitioner
- Bastrop, TX
National Provider Identifier
1174736664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP143321
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11945101 | Other | CAQH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey B. Warren, M.D. and Associates, P.C. | Past | Accepting new patients | |
| Banyan Texas, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
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- Waelder, TX
- NPI 1629689559
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- Psychiatry Physician
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- NPI 1649459421
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.