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MEGAN GRACE KAPLAN FNP-C
NPI 1457904401
Nurse Practitioner in Austin, TX

Active since July 18, 2019PECOS EnrolledAccepts Medicare Assignment
3801 N LAMAR BLVD SUITE 300, AUSTIN, TX 78756(512) 206-3600(512) 206-3604 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2022, Aug 21, 2019, Jul 18, 2019 (3 updates tracked since 2019).

About Megan Grace Kaplan Fnp-c NPPES

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

MEGAN GRACE KAPLAN FNP-C (NPI 1457904401) is an individual nurse practitioner in Austin, Texas, licensed in Texas (AP142252) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1457904401
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMEGAN GRACE KAPLANCredential: FNP-C
Location Address3801 N LAMAR BLVD SUITE 300Austin, TX 78756-4080
Mailing Address7800 Shoal Creek Blvd Ste 205nAustin, TX 78757-1016 · (512) 204-4341 · Fax (512) 407-1947
Phone(512) 206-3600
Fax(512) 206-3604
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 18, 2019
Last NPPES UpdateNovember 18, 20223 updates tracked since enumeration
NPPES CertifiedNovember 18, 2022
✔ NPI 1457904401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP142252
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP142252 (TX)
3801 N LAMAR BLVD SUITE 300, Austin, TX 78756
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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

Megan Grace Kaplan Fnp-c 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 ID5092046706
PECOS Enrollment IDI20191010002529
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.

Areas of Expertise CMS Part B claims

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.

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.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78756 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

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 Kaplan's NPI number?

The NPI number for Megan Kaplan is 1457904401. It was assigned to this individual provider in the NPPES registry on July 18, 2019.

Where is Megan Kaplan located?

Megan Kaplan practices at 3801 N Lamar Blvd Suite 300, Austin, TX 78756. The listed phone number is (512) 206-3600.

What is Megan Kaplan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Megan Kaplan enrolled in Medicare?

Yes. Megan Kaplan 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.

What insurance does Megan Kaplan accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Megan Kaplan 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 Kaplan affiliated with any hospitals?

According to CMS data, Megan Kaplan is affiliated with St David's Medical Center and Round Rock Medical Center.

When was this NPI record last updated?

The NPPES record for Megan Kaplan was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.