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MARIAH DAWN MEENACH APRN
NPI 1023997335
Nurse Practitioner - Gerontology in Tyler, TX

Active since August 29, 2025PECOS Enrolled
703 S FLEISHEL AVE, TYLER, TX 75701(903) 606-3000 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mariah Dawn Meenach Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIAH DAWN MEENACH APRN (NPI 1023997335) is an individual gerontology provider in Tyler, Texas, licensed in Texas (1227255) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tyler, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1023997335
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARIAH DAWN MEENACHCredential: APRN
Location Address703 S FLEISHEL AVETyler, TX 75701-2015
Mailing Address109 County Road 4612Troup, TX 75789-8023
Phone(903) 606-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 29, 2025
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
✔ NPI 1023997335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · 1227255
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1227255 (TX)
703 S FLEISHEL AVE, Tyler, TX 75701
Open in Google Maps ↗

Secondary Practice Location 1

Location 1703 S Fleishel Ave Ste 4000Tyler, TX 75701-2015 · Phone (903) 606-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariah Dawn Meenach Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133604291
PECOS Enrollment IDI20260326003897
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMON KUMAR M.D.
Internal Medicine (Interventional Cardiology)
703 S FLEISHEL AVE, STE 4000
TYLER, TX 75701
Smith County (903) 606-7000
TOBY C SILVERTOOTH FNP-C
Nurse Practitioner
703 S FLEISHEL AVE, STE. 4000
TYLER, TX 75701
Smith County (903) 606-7000
MS. BETHANY NICHOLE COWAN FNP-C
Nurse Practitioner (Family)
703 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 606-3000
CHRISTUS TRINITY CLINIC - CARDIOLOGY
Clinic/Center
703 S FLEISHEL AVE, SUITE 4000
TYLER, TX 75701
Smith County (903) 606-7000
DARREN JAY TAPLEY PA
Physician Assistant
703 S FLEISHEL AVE, STE 5000
TYLER, TX 75701
Smith County (903) 525-2992
THOMAS R SCHOLLER PA-C
Physician Assistant
703 S FLEISHEL AVE
TYLER, TX 75701
Smith County (903) 606-7000
CLYDE FAGG SANFORD III MD
Internal Medicine (Cardiovascular Disease)
703 S FLEISHEL AVE, STE 4000
TYLER, TX 75701
Smith County (903) 606-7000
JAMES A. CACCITOLO MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
703 S FLEISHEL AVE, STE 5000
TYLER, TX 75701
Smith County (903) 606-7525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariah Meenach's NPI number?

The NPI number for Mariah Meenach is 1023997335. It was assigned to this individual provider in the NPPES registry on August 29, 2025.

Where is Mariah Meenach located?

Mariah Meenach practices at 703 S Fleishel Ave, Tyler, TX 75701. The listed phone number is (903) 606-3000.

What is Mariah Meenach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Mariah Meenach enrolled in Medicare?

Yes. Mariah Meenach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariah Meenach was last updated on February 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.