Tricia Nicole Mewbourne, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

07016 Issued in TX

Practice address

4708 Alliance Blvd
Suite 810
Plano, TX 75093-5340

Phone

(972) 985-2797

Fax

(972) 985-4797

NPI assigned

Sep 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

365 Spine Care of North Texas, PLLCGroup PAC ID 8527328772, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• 365 Spine Care of North Texas, PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Plano, TX
  • NPI 1730696956
  Medicare reassignment Care Compare group
• Scott & White Memorial Hospital

  • Community Based Hospice Care Agency
  • Waco, TX
  • NPI 1669566584
  NPD
• The Radiology Clinic LLC

  • Diagnostic Radiology Physician
  • Tuscaloosa, AL
  • NPI 1649235243
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1790889004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 INDEPENDENCE PKWY",
            "address_2": "STE 230",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254013",
            "telephone_number": "972-985-2797",
            "fax_number": "972-985-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "address_2": "SUITE 810",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935340",
            "telephone_number": "972-985-2797",
            "fax_number": "972-985-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEWBOURNE",
        "first_name": "TRICIA",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "07016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51004134",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009939411",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Carol Metze, PMHNP-BC
• Metzger Medical
• Mark Philip Metzinger, M.D.
• Jonathan Paul Metzler, M.D.
• Jessica Mevius, OTR
• Gail Meyer, LCSW
• Michael Meyer, M.D.
• Robyn Meyer, M.S. CCC-SLP
• Harry Frederick Meyers, M.D.
• MFT Healthcare Inc

• Surgical Physician Assistant in Plano, TX
• Providers in Plano, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.