Megan Louise Madore, NP – Nurse Practitioner

Key facts

NPI: 1891269403
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: AP140218 (TX)
Practice address: 18118 FM 344 W
Flint, TX 75762-6010
Phone: (903) 825-3292
Fax: (903) 825-3151
NPI assigned: Jan 16, 2019
Sex: Female
Sole proprietor: No

Organizations & group practices 4

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.

East Lake Medical, PLLC Nurse Practitioner · Tyler, TX · NPI 1497494777

Medicare reassignment Care Compare group NPD NURSE PRACTITIONER · TX
Etmc Physician Group Inc. Cardiovascular Disease Physician · Tyler, TX · NPI 1609382662

Medicare reassignment NPD TX
Etmc Physician Group Inc. Rural Health Clinic/Center · Chandler, TX · NPI 1235706581

NPD
Starks Medical Primary Care Nurse Practitioner · Bullard, TX · NPI 1306570593

NPD (past)

Hospital & facility affiliations 1

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

Mother Frances Hospital Regional Health Care Center General Acute Care Hospital · Tyler, TX · NPI 1679578439

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2018
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: East Lake Medical, PLLC (4 clinicians)

Practice addresses (Care Compare)

11980 State Hwy 64 E
Suite G
Tyler, TX 75707-2541
Phone (903) 650-8619

Hospital & facility affiliations

Christus Mother Frances Hospital Hospital · Tyler, TX · CCN 450102

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20190307000582	TX	Practitioner - Nurse Practitioner	7517206675	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
AP140218	TX	MD	Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
East Lake Medical, PLLC	Nurse Practitioner	Current since Apr 5, 2024	Accepting new patients
Etmc Physician Group Inc.		Current since Jan 1, 2019	Accepting new patients
Etmc Physician Group Inc.		Current since Jan 1, 2019	Accepting new patients
Starks Medical		Past	Accepting new patients

Locations

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

11980 State Highway 64 E
Ste G
Tyler, TX 75707
Phone (903) 579-3931

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nurse Practitioner	363L00000X	AP140218	TX	Yes

Addresses

Primary practice location

18118 FM 344 W
Flint, TX 75762-6010

Mailing address

PO Box 130549
Tyler, TX 75713-0549
Phone (903) 579-3931

Other providers in Flint, TX

All providers in Flint, TX · Nurse Practitioner in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.