Individual provider Active NPI

Meaghan Nicol Timberlake, APRN, MSN, FNP-C

  • Family Nurse Practitioner
  • Hondo, TX
National Provider Identifier
1235639709
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136326 Issued in TX
Practice address
602 31St St
Hondo, TX 78861-3512
Phone
(210) 202-0250
Fax
(830) 331-2287
NPI assigned
Feb 20, 2018
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP136326 TX Primary

Addresses

Primary practice location

602 31St St
Hondo, TX 78861-3512

Mailing address

1620 N Main St
Spanish Fork, UT 84660-1008
Phone (801) 822-2234

Other practice location 1

34910 Interstate 10 W Ste 301
Boerne, TX 78006-9230
Phone (210) 202-0250

Other names 1

  • Meaghan Nichol Koch Former name

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
I20180618000168 TX Practitioner - Nurse Practitioner 8527313485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Sinus Institute PLLCGroup PAC ID 9234284407, 36 clinicians

Practice addresses (Care Compare)

3406 Bob Rogers Dr
Suite 270
Eagle Pass, TX 78852-5943
Phone (210) 202-0250

34910 Interstate 10 W
Suite 301
Boerne, TX 78006-9230
Phone (210) 202-0250

602 31St St
Hondo, TX 78861-3512
Phone (210) 202-0250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.88 of 100Reported as group
Quality
73.96
Promoting interoperability
93
Improvement activities
40
Cost
74.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Sinus Institute PLLC Single Specialty CurrentSince May 1, 2018 Accepting new patients

Locations

3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584

34910 Interstate 10 W
Ste 3
Boerne, TX 78006

34910 Interstate 10 W
Ste 301
Boerne, TX 78006
Phone (210) 802-4058

3406 Bob Rogers Dr
Ste 270
Eagle Pass, TX 78852

3010 Avenue G
Hondo, TX 78861
Phone (830) 426-4342

602 31st St
Hondo, TX 78861
Phone (210) 692-7228

156 W Sunset Rd
Ste 200
San Antonio, TX 78209
Phone (201) 202-0250

1620 N Main St
Spanish Fork, UT 84660

1190 Spring Creek Pl
Ste E1
Springville, UT 84663

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDAHAA

Organizations & group practices 1

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1235639709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601008",
            "telephone_number": "801-822-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 31ST ST",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788613512",
            "telephone_number": "210-202-0250",
            "fax_number": "830-331-2287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34910 Interstate 10 W Ste 301",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780069230",
            "country_code": "US",
            "telephone_number": "210-202-0250",
            "fax_number": "830-331-2287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMBERLAKE",
        "first_name": "MEAGHAN",
        "middle_name": "NICOL",
        "credential": "APRN, MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGHAN",
            "last_name": "KOCH",
            "middle_name": "NICHOL",
            "credential": "APRN, MSN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hondo, TX

Sources for this page

Verify at the official NPI Registry.