Individual provider Active NPI

Megan Diane Nixon, PA-C

  • Physician Assistant
  • Waco, TX
National Provider Identifier
1326502758
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12606 Issued in TX
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190322000888 TX Practitioner - Physician Assistant 3072853316 Reassigns benefits to 2 organizations

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
Russell Rowe MD PAGroup PAC ID 7416381546, 7 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
PA12606TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalogy P.a. Current Accepting new patients
Mountain West Derm-Blackhart, PLLC CurrentSince Oct 1, 2021 Accepting new patients
Gorden Eye Associates, PA PastSince May 18, 2001 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.

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

Verify at the official NPI Registry.