Individual provider Active NPI

Megan Wilder

  • Nurse Practitioner
  • Longview, TX
National Provider Identifier
1639542046
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP130347 Issued in TX
Practice address
705 E Marshall Ave Ste 1004
Longview, TX 75601-5573
Phone
(903) 315-3880
Fax
(903) 315-2397
NPI assigned
Nov 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP130347 TX Primary

Addresses

Primary practice location

705 E Marshall Ave Ste 1004
Longview, TX 75601-5573

Mailing address

PO Box 4207
Longview, TX 75606-4207
Phone (903) 315-4119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160302001658 TX Practitioner - Nurse Practitioner 9234435140 Reassigns benefits to 4 organizations
I20220131002534 CA Practitioner - Nurse Practitioner 9234435140

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Healogics Specialty Physicians of Texas PLLCGroup PAC ID 6709002777, 33 clinicians

Practice addresses (Care Compare)

2101 W Loop
Longview, TX 75604-2506

618 S Grove St
Marshall, TX 75670-5294
Phone (903) 934-5310

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP130347TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Texas Emergency Physicians, PLLC Nurse Practitioner CurrentSince Aug 1, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 1, 2017 Accepting new patients
Marcus Zachary, D.O., P.C. CurrentSince Nov 1, 2021 Accepting new patients
Healogics Specialty Physicians of Texas, PLLC Nurse Practitioner CurrentSince Jun 30, 2020 Accepting new patients
Acute Care Specialists Nurse Practitioner CurrentSince Oct 3, 2017 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 1, 2017 Accepting new patients
East Texas Border Health Clinic Past Accepting new patients
Van Family Medical PastSince Mar 27, 2022 Accepting new patients

Locations

7111 N Fresno St
Ste 200
Fresno, CA 93720
Phone (415) 353-6817

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

1600 Broadway Ave
Gladewater, TX 75647
Phone (903) 315-5630

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

705 E Marshall Ave
Ste 1004
Longview, TX 75601
Phone (903) 315-3880

618 S Grove St
Ste 200
Marshall, TX 75670
Phone (903) 934-5310

618 S Grove St
Ste 300
Marshall, TX 75670
Phone (903) 927-6611

618 S Grove St
Marshall, TX 75670
Phone (903) 927-6725

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: mwilder241875@christushealth.direct-ci.net

Organizations & group practices 8

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 4

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": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1639542046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4207",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756064207",
            "telephone_number": "903-315-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE STE 1004",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015573",
            "telephone_number": "903-315-3880",
            "fax_number": "903-315-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP130347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.