Individual provider Active NPI

Megan Oliver Jacobson, PA-C

  • Medical Physician Assistant
  • Brownwood, TX
National Provider Identifier
1992042279
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA08054 Issued in TX
Practice address
1604 14TH St
Brownwood, TX 76801-5314
Phone
(325) 646-5296
Fax
(325) 646-5820
NPI assigned
Jan 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA08054 TX
Medical Physician Assistant 363AM0700X PA08054 TX Primary
Physician Assistant 363A00000X PA08054 TX

Addresses

Primary practice location

1604 14TH St
Brownwood, TX 76801-5314

Mailing address

1604 14TH St
Brownwood, TX 76801-5314
Phone (325) 646-5296

Other practice location 1

13830 Sawyer Ranch Rd Ste 102
Dripping Springs, TX 78620-5514
Phone (512) 301-6400

Other practice location 2

701 E Fm 1626 Ste 100
Austin, TX 78748-6075
Phone (512) 777-0884

Other practice location 3

13830 Sawyer Ranch Rd Ste 100
Dripping Springs, TX 78620-5514
Phone (512) 301-6400

Other practice location 4

701 E Fm 1626 Ste 102
Austin, TX 78748-6075
Phone (512) 777-0884

Other identifiers 2

IdentifierTypeStateIssuer
PA08054OtherTXSTATE
13581476OtherCAQH

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
I20150408000445 TX Practitioner - Physician Assistant 1658699400 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RHC Insurance Texas PLLCGroup PAC ID 6204375280, 9 clinicians

Practice addresses (Care Compare)

1604 14TH St
Brownwood, TX 76801-5314
Phone (817) 508-8169

Hospital & facility affiliations

  • Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA08054TXMDSurgical Physician Assistant

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.

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": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1992042279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 14TH ST",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015314",
            "telephone_number": "325-646-5296",
            "fax_number": "325-646-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 14TH ST",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015314",
            "telephone_number": "325-646-5296",
            "fax_number": "325-646-5820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13830 Sawyer Ranch Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dripping Springs",
            "state": "TX",
            "postal_code": "786205514",
            "country_code": "US",
            "telephone_number": "512-301-6400",
            "fax_number": "512-301-6401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E Fm 1626 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787486075",
            "country_code": "US",
            "telephone_number": "512-777-0884",
            "fax_number": "512-777-0933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13830 Sawyer Ranch Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dripping Springs",
            "state": "TX",
            "postal_code": "786205514",
            "country_code": "US",
            "telephone_number": "512-301-6400",
            "fax_number": "512-301-6401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E Fm 1626 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787486075",
            "country_code": "US",
            "telephone_number": "512-777-0884",
            "fax_number": "512-777-0933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MEGAN",
        "middle_name": "OLIVER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA08054",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08054",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "PA08054",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13581476",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.