Individual provider Active NPI

Meagen Leann Smith, NP

  • Nurse Practitioner
  • Mount Pleasant, TX
National Provider Identifier
1962965491
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP141151 Issued in TX
Practice address
301 W 19TH St
Mt Pleasant, TX 75455-2322
Phone
(903) 577-1101
Fax
(903) 577-0771
NPI assigned
Apr 11, 2019
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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 AP141151 TX Primary

Addresses

Primary practice location

301 W 19TH St
Mt Pleasant, TX 75455-2322

Mailing address

301 W 19TH St
Mt Pleasant, TX 75455-2322
Phone (903) 577-1101

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
I20190510001300 TX Practitioner - Nurse Practitioner 9739422999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quitman Hospital LLCGroup PAC ID 9133484330, shared by 6 NPIs, 29 clinicians
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians

Practice addresses (Care Compare)

117 N Winnsboro St
Quitman, TX 75783-2144
Phone (903) 763-6220

2701 US Hwy 271 N
Pittsburg, TX 75686-4289
Phone (903) 946-5442

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Jan 22, 2019 Accepting new patients
Pittsburg Hospital, LLC CurrentSince May 1, 2019 Accepting new patients
Etmc Physician Group Inc. CurrentSince Jan 22, 2019 Accepting new patients
Pittsburg Hospital, LLC CurrentSince May 1, 2019 Accepting new patients
Pittsburg Hospital LLC Current Accepting new patients
Starks Medical Past Accepting new patients

Locations

340 Seven Springs Way
Ste 100
Brentwood, TN 37027
Phone (615) 296-3000

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

2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105

301 W 19th St
Mt Pleasant, TX 75455
Phone (903) 577-1101

2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000

Interoperability endpoints

  • Direct secure messaging: msmith354952@ahs.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1962965491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 19TH ST",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552322",
            "telephone_number": "903-577-1101",
            "fax_number": "903-577-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 19TH ST",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552322",
            "telephone_number": "903-577-1101",
            "fax_number": "903-577-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MEAGEN",
        "middle_name": "LEANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP141151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.