Active NPI
Megan Michelle Osorio, NP
- Nurse Practitioner
- Jacksonville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1175097
- Practice address
- 1602 S Jackson St
Jacksonville, TX 75766-3028 - Phone
- (430) 205-4150
- NPI assigned
- Nov 21, 2024
- Last updated
- Mar 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1175097 | TX | Primary |
Addresses
Primary practice location
1602 S Jackson St
Jacksonville, TX 75766-3028
Mailing address
1602 S Jackson St
Jacksonville, TX 75766-3028
Phone (430) 205-4150
Other practice location 1
5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (888) 725-5422
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 E State Hwy 243
Suite 121
Canton, TX 75103-2418
Phone (903) 567-4692
5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pallicare, Inc | Nurse Practitioner | Current | Accepting new patients |
| Ut East Texas Urgent Care Centers, PLLC | Current | Accepting new patients | |
| Radiology Associates of North Texas PA | Past | Accepting new patients |
Locations
301 E State Highway 243
Ste 121
Canton, TX 75103
Phone (903) 567-4692
1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571
1602 S Jackson St
Jacksonville, TX 75766
Phone (409) 782-5813
1016 N Kilgore St
Kilgore, TX 75662
Phone (903) 522-4199
1703 S 3rd St
Mabank, TX 75147
Phone (903) 225-7189
Interoperability endpoints
- megan.osorio.1@26850.direct.athenahealth.com
- mosorio466947@ahs.direct-ci.com
Organizations & group practices 3
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.
-
- Community Health Nurse Practitioner
- Texarkana, TX
- NPI 1316511884
-
- Urgent Care Clinic/Center
- Canton, TX
- NPI 1356974281
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1992520225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 S JACKSON ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757663028",
"telephone_number": "430-205-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 S JACKSON ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757663028",
"telephone_number": "430-205-4150"
}
],
"practiceLocations": [
{
"address_1": "5803 Stoneridge Dr",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755031461",
"country_code": "US",
"telephone_number": "888-725-5422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSORIO",
"first_name": "MEGAN",
"middle_name": "MICHELLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-21",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1175097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.