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MEGAN SARAH EDWARDS FNP
NPI 1104208990
Nurse Practitioner - Family in Frisco, TX

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment
8501 WADE BLVD, 310, FRISCO, TX 75034(972) 427-3570(972) 596-0066 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Megan Sarah Edwards Fnp NPPES

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

MEGAN SARAH EDWARDS FNP (NPI 1104208990) is an individual family provider in Frisco, Texas, licensed in Texas (814366) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Baylor Surgical Hospital At Las Colinas, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104208990
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEGAN SARAH EDWARDSCredential: FNP
Location Address8501 WADE BLVD, 310Frisco, TX 75034-5894
Mailing Address8501 Wade Blvd, 310Frisco, TX 75034-5894 · (972) 427-3570 · Fax (972) 596-6006
Phone(972) 427-3570
Fax(972) 596-0066
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 29, 2015
Last NPPES UpdateJanuary 14, 2020
✔ NPI 1104208990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 814366
8501 WADE BLVD, Frisco, TX 75034
Open in Google Maps ↗

Other Names 1

Former Name (1)Megan Sarah Sexton

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Megan Sarah Edwards Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476845884
PECOS Enrollment IDI20160705001935
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Megan Edwards reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

MD On Call PA
2.4 mi
Hospitalist
5601 WARREN PKWY
Frisco, TX 75034
  • Reassigned Medicare billing, Texas enrollment
  • 13 clinicians in this Medicare group
NPI 1144268186 (214) 766-7282
Primamed Physicians PLLC
6.7 mi
Urgent Care
4122 LYNDON B JOHNSON FWY STE 130
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 77 clinicians in this Medicare group
NPI 1164494068 (972) 488-9222
Bruce E Whitehead, MD, PA
15 mi
Primary Care
12201 MERIT DR, SUITE 300
Dallas, TX 75251
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1114300795 (214) 294-8989
Ucp Physicians Of Central Texas, PLLC
179 mi
Urgent Care
900 N AUSTIN AVE, STE 105
Georgetown, TX 78626
  • Reassigned Medicare billing, Texas enrollment
  • 241 clinicians in this Medicare group
NPI 1922289412 (512) 930-7828
Nextcare Primary Care Texas PLLC
180 mi
Urgent Care
3802 CATCLAW DR
Abilene, TX 79606
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Nextcare Primary Care Tx PLLC
  • 44 clinicians in this Medicare group
NPI 1760875025 (480) 776-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
136 services136 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
100 services100 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services32 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
30 services30 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Surgical Hospital At Las Colinas

Acute Care Hospitals · Irving, TX
OwnershipProprietary
CMS Certification Number450874
Location400 West Lyndon B Johnson Suite 101BIrving, TX 75063 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75034 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 6

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

PEDIATRIC PULMONARY ASSOC. OF N. TEXAS
Pediatrics (Pediatric Pulmonology)
8501 WADE BLVD, BLDG X SUITE 1020
FRISCO, TX 75034
Denton County (972) 566-5864
PEDIATRIC PULMONARY ASSOC. OF N. TEXAS
Specialist
8501 WADE BLVD, BLDG X, SUITE 1020
FRISCO, TX 75034
Denton County (972) 566-5864
DR. JOSE FERNANDO MANDUJANO M.D.
Pediatrics (Pediatric Pulmonology)
8501 WADE BLVD, BLDG. X, SUITE 1020
FRISCO, TX 75034
Denton County (972) 668-5864
SOUTHWEST IMAGING AND INTERVENTIONAL SPECILASITS
Radiology (Diagnostic Radiology)
8501 WADE BLVD
FRISCO, TX 75034
Denton County (214) 618-3420
RICHARD B. SILVER M.D.
Specialist
8501 WADE BLVD, BLDG. X, SUITE 1020
FRISCO, TX 75034
Denton County (972) 668-5864
CARLOS ALFREDO MEDINA M.D.
Pediatrics (Pediatric Pulmonology)
8501 WADE BLVD, BLDG. X, SUITE 1020
FRISCO, TX 75034
Denton County (972) 668-5864

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 Megan Edwards's NPI number?

The NPI number for Megan Edwards is 1104208990. It was assigned to this individual provider in the NPPES registry on June 29, 2015. The provider is also known as Megan Sarah Sexton.

Where is Megan Edwards located?

Megan Edwards practices at 8501 Wade Blvd 310, Frisco, TX 75034. The listed phone number is (972) 427-3570.

What is Megan Edwards's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Megan Edwards enrolled in Medicare?

Yes. Megan Edwards is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Megan Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Edwards reassigns Medicare benefits to 5 organizations: MD On Call PA (Frisco, TX), Primamed Physicians PLLC (Dallas, TX), Bruce E Whitehead, MD, PA (Dallas, TX), Ucp Physicians Of Central Texas, PLLC (Georgetown, TX) and Nextcare Primary Care Texas PLLC (Abilene, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Megan Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Edwards accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Megan Edwards as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Megan Edwards affiliated with any hospitals?

According to CMS data, Megan Edwards is affiliated with Baylor Surgical Hospital At Las Colinas.

When was this NPI record last updated?

The NPPES record for Megan Edwards was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.