Individual provider Active NPI

Megan Kukielski, PA

  • Physician Assistant
  • Grapevine, TX
National Provider Identifier
1346746799
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11938 Issued in TX
Practice address
3801 William D Tate Ave Ste 800a
Grapevine, TX 76051-8755
Phone
(817) 612-4499
Fax
(855) 295-2686
NPI assigned
Apr 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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 PA11938 TX Primary

Addresses

Primary practice location

3801 William D Tate Ave Ste 800a
Grapevine, TX 76051-8755

Mailing address

4341 Palmdale Dr
Plano, TX 75024-7318
Phone (214) 457-4288

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
I20180430001227 TX Practitioner - Physician Assistant 3678837648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beacon Behavioral of Texas PAGroup PAC ID 3678626256, 55 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Suite 833
Dallas, TX 75230-2571
Phone (972) 566-4591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11938TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Behavioral of Texas PA Psychiatry Past Accepting new patients

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1346746799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 PALMDALE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247318",
            "telephone_number": "214-457-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 WILLIAM D TATE AVE STE 800A",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518755",
            "telephone_number": "817-612-4499",
            "fax_number": "855-295-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKIELSKI",
        "first_name": "MEGAN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.