Individual provider Active NPI

Aurora Mary Mignosa, M.D.

  • Psychiatry Physician
  • Waco, TX
National Provider Identifier
1417038175
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M3324 Issued in TX
Practice address
301 Londonderry Dr
Waco, TX 76712-7915
Phone
(254) 751-4880
Fax
(254) 751-4885
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2024034855 MO
Psychiatry Physician 2084P0800X M3324 TX Primary

Addresses

Primary practice location

301 Londonderry Dr
Waco, TX 76712-7915

Mailing address

PO Box 18962
Belfast, ME 04915-4084
Phone (800) 566-5050

Other practice location 1

211 NE 54th St Ste 201
Kansas City, MO 64118-4330
Phone (816) 453-6777

Other identifiers 3

IdentifierTypeStateIssuer
084249401MedicaidTX
00N59XOtherTXBCBS TX
182846902MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070220000403 TX Practitioner - Psychiatry 3072615160 Reassigns benefits to 1 organization
I20241212002631 MO Practitioner - Psychiatry 3072615160 Reassigns benefits to 1 organization
I20251022003580 OR Practitioner - Psychiatry 3072615160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians
TS Telepsychiatry PLLCGroup PAC ID 0941698070, 21 clinicians

Practice addresses (Care Compare)

211 NE 54TH St
Suite 201
Kansas City, MO 64118-4330
Phone (816) 453-6777

8713 Midway Dr
Waco, TX 76712-3610
Phone (239) 208-2212

Hospital & facility affiliations

  • Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260
  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231
  • HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2024034855MOMDPsychiatry Physician
M3324TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Current Accepting new patients
Good Shepherd Health Care System CurrentSince Sep 1, 2025 Accepting new patients
Meritas Health Psychiatry CurrentSince Feb 1, 2025 Accepting new patients
TS Telepsychiatry PLLC Psychiatry CurrentSince Mar 12, 2024 Accepting new patients
Meritas Health Corporation CurrentSince Feb 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206

211 NE 54th St
Ste 201
Kansas City, MO 64118
Phone (816) 453-6777

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

211 NE 54th St
Ste 2
Kansas City, MO 64118
Phone (816) 453-6777

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: amignosa1595510@direct.lhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1417038175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18962",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154084",
            "telephone_number": "800-566-5050",
            "fax_number": "254-537-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LONDONDERRY DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127915",
            "telephone_number": "254-751-4880",
            "fax_number": "254-751-4885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 NE 54th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641184330",
            "country_code": "US",
            "telephone_number": "816-453-6777",
            "fax_number": "816-454-3601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIGNOSA",
        "first_name": "AURORA",
        "middle_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2024034855",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M3324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084249401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "00N59X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182846902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.