Individual provider Active NPI

Megan Grace Forsberg, AGPCNP-BC, RN

  • Gerontology Nurse Practitioner
  • Seguin, TX
National Provider Identifier
1518317544
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP131192 Issued in TX
Practice address
1483 E Court St
Seguin, TX 78155-5165
Phone
(830) 560-2813
Fax
(830) 560-2812
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP131192 TX Primary
Nurse Practitioner 363L00000X AP131192 TX

Addresses

Primary practice location

1483 E Court St
Seguin, TX 78155-5165

Mailing address

1483 E Court St
Seguin, TX 78155-5165
Phone (830) 560-2813

Other names 1

  • Megan Lynn Grace Former name

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
I20161205002008 TX Practitioner - Nurse Practitioner 2567742760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1202 E Sonterra Blvd
San Antonio, TX 78258-4090
Phone (210) 352-5200

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP131192TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Nov 8, 2023 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Nov 8, 2023 Accepting new patients

Locations

27511 Interstate 10 W
Bldg 5
Boerne, TX 78006
Phone (210) 352-5200

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

1202 E Sonterra Blvd
Ste 301
San Antonio, TX 78258
Phone (210) 352-5200

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Organizations & group practices 2

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1518317544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 E COURT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555165",
            "telephone_number": "830-560-2813",
            "fax_number": "830-560-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 E COURT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555165",
            "telephone_number": "830-560-2813",
            "fax_number": "830-560-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSBERG",
        "first_name": "MEGAN",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP131192",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP131192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "GRACE",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.