Individual provider Active NPI

Meagan Lynn Yeates, RN, MSN, FNP-BC

  • Family Nurse Practitioner
  • Woodville, TX
National Provider Identifier
1801148085
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
744263 Issued in TX
Practice address
703 W Bluff St
Woodville, TX 75979-5131
Phone
(409) 200-2811
Fax
(409) 200-2856
NPI assigned
Oct 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 744263 TX Primary

Addresses

Primary practice location

703 W Bluff St
Woodville, TX 75979-5131

Mailing address

PO Box 402
Jasper, TX 75951-0005

Other practice location 1

410 Gaslight Blvd
Lufkin, TX 75904-3123
Phone (936) 639-5150

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
I20140716001034 TX Practitioner - Nurse Practitioner 0749405330 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dmctx1, PLLCGroup PAC ID 1052650249, 4 clinicians

Practice addresses (Care Compare)

703 W Bluff St
Woodville, TX 75979-5131
Phone (409) 200-2811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Emergency Medicine of Texas PLLC CurrentSince Feb 15, 2018 Accepting new patients
Angelina Emergency Medicine Associates PA CurrentSince Jun 17, 2014 Accepting new patients
Dmctx1, PLLC CurrentSince Dec 1, 2018 Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Camino Real Emergency Physicians PLLC Past Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

Organizations & group practices 5

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 1

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": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1801148085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759510005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 W BLUFF ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759795131",
            "telephone_number": "409-200-2811",
            "fax_number": "409-200-2856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Gaslight Blvd",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759043123",
            "country_code": "US",
            "telephone_number": "936-639-5150",
            "fax_number": "936-639-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEATES",
        "first_name": "MEAGAN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "744263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, TX

Sources for this page

Verify at the official NPI Registry.