Active NPI
Megan Diane Nixon, PA-C
- Physician Assistant
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA12606
- Practice address
- 5100 Franklin Ave Ste C
Waco, TX 76710-6922 - Phone
- (254) 265-7100
- Fax
- (254) 875-0449
- NPI assigned
- Jan 30, 2019
- Last updated
- Sep 18, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA12606 | TX | Primary |
Addresses
Primary practice location
5100 Franklin Ave Ste C
Waco, TX 76710-6922
Mailing address
5100 Franklin Ave Ste C
Waco, TX 76710-6922
Phone (254) 265-7100
Other practice location 1
1618 Canyon Creek Dr Ste 120
Temple, TX 76502-3273
Phone (254) 265-7100
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10201
Suite 16
Comanche, TX 76442
Phone (254) 265-7100
6612 Woodway Dr
BLDG a Suite 2
Waco, TX 76712-6143
Phone (254) 265-7100
Merit-based Incentive Payment System (MIPS)
- Final score
- 60.98 of 100
- Quality
- 80.71
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 72.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA12606 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalogy P.a. | Current | Accepting new patients | |
| Mountain West Derm-Blackhart, PLLC | Current | Accepting new patients | |
| Gorden Eye Associates, PA | Past | Accepting new patients | |
| Neil F Haddock MD PA | Past | Accepting new patients |
Locations
5625 Eiger Rd
Ste 105
Austin, TX 78735
Phone (512) 763-3760
7801 N Lamar Blvd
Ste D81
Austin, TX 78752
Phone (512) 868-3376
4513 Williams Dr
Georgetown, TX 78633
1320 Wonder World Dr
Ste 108
San Marcos, TX 78666
Phone (512) 392-1411
Organizations & group practices 6
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.
-
dba Vitalogy Skincare
- Dermatology Physician
- Georgetown, TX
- NPI 1366018848
-
- Dermatology Physician
- Tigard, OR
- NPI 1316656994
-
- Ophthalmology Physician
- Temple, TX
- NPI 1003889981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1326502758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 FRANKLIN AVE STE C",
"city": "WACO",
"state": "TX",
"postal_code": "767106922",
"telephone_number": "254-265-7100",
"fax_number": "254-875-0449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 FRANKLIN AVE STE C",
"city": "WACO",
"state": "TX",
"postal_code": "767106922",
"telephone_number": "254-265-7100",
"fax_number": "254-875-0449"
}
],
"practiceLocations": [
{
"address_1": "1618 Canyon Creek Dr Ste 120",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765023273",
"country_code": "US",
"telephone_number": "254-265-7100",
"fax_number": "254-875-0449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIXON",
"first_name": "MEGAN",
"middle_name": "DIANE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-30",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA12606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.