MORGAN MCCULLOUGH WOMBOLDT AGACNP
NPI 1225510779
Nurse Practitioner - Acute Care in Dallas, TX

Q: What is Morgan Womboldt's NPI number?

The NPI number for Morgan Womboldt is 1225510779. It was assigned to this individual provider in the NPPES registry on August 31, 2018. The provider is also known as Morgan Lane Mccullough Agacnp.

Q: What is Morgan Womboldt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Morgan Womboldt was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since August 31, 2018PECOS EnrolledAccepts Medicare Assignment

82.38/100

CMS Quality Rating

221 W COLORADO BLVD STE 525, DALLAS, TX 75208(214) 960-5681 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2026, Dec 22, 2020, Aug 31, 2018 (3 updates tracked since 2018).

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About Morgan Mccullough Womboldt Agacnp NPPES

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

MORGAN MCCULLOUGH WOMBOLDT AGACNP (NPI 1225510779) is an individual acute care provider in Dallas, Texas, licensed in Texas (AP138039) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225510779

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMORGAN MCCULLOUGH WOMBOLDTCredential: AGACNP

Location Address221 W COLORADO BLVD STE 525Dallas, TX 75208-2312

Mailing Address15555 Creek Bend Dr Ste 200Sugar Land, TX 77478-4670 · (832) 707-5011

Phone(214) 960-5681

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 31, 2018

Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1225510779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · AP138039

221 W COLORADO BLVD STE 525, Dallas, TX 75208

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Other Names 1

Former Name (1)Morgan Lane Mccullough Agacnp

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Morgan Mccullough Womboldt Agacnp 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 ID5496083834

PECOS Enrollment IDI20190823000805

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 75208 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.23

Promoting Interoperability

100

Improvement Activities

Cost

58.5

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.

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