Individual provider Active NPI

Meagan Michelle Mitchell, FNP

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1366023319
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1046055 Issued in TX
Practice address
14547 Lake Business Dr Ste 403
Conroe, TX 77304-3251
Phone
(936) 243-5021
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 826778 TX
Family Nurse Practitioner 363LF0000X 1046055 TX Primary

Addresses

Primary practice location

14547 Lake Business Dr Ste 403
Conroe, TX 77304-3251

Mailing address

14547 Lake Business Dr Ste 403
Conroe, TX 77304-3251
Phone (936) 243-5021

Other practice location 1

2300 Woodforest Pkwy N Ste 250-483
Montgomery, TX 77316-6501
Phone (832) 773-8974

Other practice location 2

130 Caledonia Cir
Montgomery, TX 77316-1572
Phone (832) 773-8974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2026 through Oct 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
826778TXMDGeneral Practice Registered Nurse
1046055TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: salviawellness&aesthetics.meaganmitchell@156798.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1366023319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14547 LAKE BUSINESS DR STE 403",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043251",
            "telephone_number": "936-243-5021",
            "fax_number": "936-571-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14547 LAKE BUSINESS DR STE 403",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043251",
            "telephone_number": "936-243-5021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Woodforest Pkwy N Ste 250-483",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773166501",
            "country_code": "US",
            "telephone_number": "832-773-8974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Caledonia Cir",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773161572",
            "country_code": "US",
            "telephone_number": "832-773-8974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MEAGAN",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "826778",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1046055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.