Individual provider Active NPI

Marguerite Wilson Addison, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waco, TX
National Provider Identifier
1366688301
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN117279 Issued in TX
Practice address
1105 Wooded Acres Dr Ste 430
Waco, TX 76710-4450
Phone
(254) 294-2887
Fax
(254) 233-8878
NPI assigned
Dec 22, 2008
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN117279 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 428836 TX

Addresses

Primary practice location

1105 Wooded Acres Dr Ste 430
Waco, TX 76710-4450

Mailing address

1105 Wooded Acres Dr Ste 430
Waco, TX 76710-4450
Phone (254) 294-2887

Other names 1

  • Mrs. Marguerite 'Peggy' W. Addison Other name

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 Jul 1, 2016 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN117279TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Psychiatry Waco PLLC Psychiatric/Mental Health Current Accepting new patients

Locations

1105 Wooded Acres Dr
Ste 430
Waco, TX 76710
Phone (254) 294-2887

8414 Old McGregor Rd
Unit B
Woodway, TX 76712
Phone (254) 716-0115

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.

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1366688301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 WOODED ACRES DR STE 430",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104450",
            "telephone_number": "254-294-2887",
            "fax_number": "254-233-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 WOODED ACRES DR STE 430",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104450",
            "telephone_number": "254-294-2887",
            "fax_number": "254-233-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDISON",
        "first_name": "MARGUERITE",
        "middle_name": "WILSON",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "APN117279",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "428836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGUERITE 'PEGGY'",
            "last_name": "ADDISON",
            "middle_name": "W.",
            "prefix": "MRS.",
            "credential": "APRN, PMHNP- BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.