Individual provider Active NPI

Megan Michelle Osorio, NP

  • Nurse Practitioner
  • Jacksonville, TX
National Provider Identifier
1992520225
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1175097 Issued in TX
Practice address
1602 S Jackson St
Jacksonville, TX 75766-3028
Phone
(430) 205-4150
NPI assigned
Nov 21, 2024
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241210004757 TX Practitioner - Nurse Practitioner 9739615063 Reassigns benefits to 2 organizations

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
Ut East Texas Urgent Care Centers, PLLCGroup PAC ID 7517385388, 33 clinicians
Pallicare, IncGroup PAC ID 8123429925, 85 clinicians

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

OrganizationSpecialtyStatusNew patients
Pallicare, Inc Nurse Practitioner CurrentSince Apr 2, 2025 Accepting new patients
Ut East Texas Urgent Care Centers, PLLC CurrentSince Dec 1, 2024 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

  • Direct secure messaging: megan.osorio.1@26850.direct.athenahealth.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.