Individual provider Active NPI

Meredith McCune, PA-C

  • Physician Assistant
  • Lubbock, TX
National Provider Identifier
1992405104
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16626 Issued in TX
Practice address
11102 Headquarters Dr
Lubbock, TX 79424-2180
Phone
(806) 472-6848
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16626 TX Primary

Addresses

Primary practice location

11102 Headquarters Dr
Lubbock, TX 79424-2180

Mailing address

6028 Maybrook Dr
North Richland Hills, TX 76180-1618

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
I20231025000314 TX Practitioner - Physician Assistant 1850747080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Sep 2, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 2, 2025 Accepting new patients
Healthtexas Provider Network Past Accepting new patients
Lubbock County Hospital District PastSince Dec 15, 2024 Accepting new patients
Elite Interns PLLC PastSince Mar 1, 2023 Accepting new patients
Texas Familicare Medical Group PLLC PastSince Mar 1, 2023 Accepting new patients

Locations

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

740 S Highway 377
Roanoke, TX 76262
Phone (817) 912-8200

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mmccune928511@direct.sw.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1992405104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 MAYBROOK DR",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761801618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11102 HEADQUARTERS DR",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242180",
            "telephone_number": "806-472-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUNE",
        "first_name": "MEREDITH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.