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MEGAN CASSELMAN NP
NPI 1528619525
Nurse Practitioner in Midland, TX

Active since September 23, 2019PECOS EnrolledAccepts Medicare Assignment
94/100
CMS Quality Rating
2402 W WALL ST, MIDLAND, TX 79701(432) 688-7700 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 13, 2020, Sep 23, 2019 (2 updates tracked since 2019).

About Megan Casselman Np NPPES

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

MEGAN CASSELMAN NP (NPI 1528619525) is an individual nurse practitioner in Midland, Texas, licensed in Texas (AP143155) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Midland Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1528619525
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMEGAN CASSELMANCredential: NP
Location Address2402 W WALL STMidland, TX 79701-6316
Mailing Address4214 Andrews Hwy Ste 240Midland, TX 79703-4817 · (432) 686-6605
Phone(432) 688-7700
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 23, 2019
Last NPPES UpdateAugust 13, 20202 updates tracked since enumeration
NPPES CertifiedAugust 13, 2020
✔ NPI 1528619525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP143155
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.
2402 W WALL ST, Midland, TX 79701
Open in Google Maps ↗

Other Identifiers 1

Other869041TX · Tx Medicare

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 Casselman Np 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 ID7517299449
PECOS Enrollment IDI20191028000098
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 11

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.
468 services294 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.
221 services164 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
199 services199 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
78 services12 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
72 services64 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

Midland Memorial Hospital

Acute Care Hospitals · Midland, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450133
Location400 Rosalind Redfern Grover ParkwayMidland, TX 79701 · Midland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79701 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.

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.

94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.34
Promoting Interoperability100
Improvement Activities40
Cost82.4

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
71%35 patients2/55-star benchmark: 100%
Advance Care Plan
51%718 patients3/55-star benchmark: 100%
Breast Cancer Screening
63%410 patients3/55-star benchmark: 93%
Cervical Cancer Screening
67%313 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
27%518 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
74%866 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
85%773 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
20%340 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
13%340 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,750 patients5/55-star benchmark: 100%
e-Prescribing
100%6,029 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
54%688 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
45%1,383 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
58%1,015 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%919 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 93% · 1,340 patients
Patients screened: 98% · 1,340 patients
50%132 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
83%1,051 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%471 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 693 patients
Patients totalRate: 18% · 722 patients
18%722 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers21 claims42 services$5.54 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$90.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

FRANKLIN J. DZIDA, MD, PA
Orthopaedic Surgery
2402 W WALL ST
MIDLAND, TX 79701
Midland County (432) 685-8213
MADHUSMITA PANDA MD
Family Medicine
2402 W WALL ST
MIDLAND, TX 79701
Midland County (322) 214-8004
SHAILESH JAIN MD, MOH
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2402 W WALL ST
MIDLAND, TX 79701
Midland County (432) 221-5970
DR. JUAN CARLOS GIL MD
Internal Medicine
2402 W WALL ST
MIDLAND, TX 79701
Midland County (432) 688-7700

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 Casselman's NPI number?

The NPI number for Megan Casselman is 1528619525. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Megan Casselman located?

Megan Casselman practices at 2402 W Wall St, Midland, TX 79701. The listed phone number is (432) 688-7700.

What is Megan Casselman's specialty?

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

Is Megan Casselman enrolled in Medicare?

Yes. Megan Casselman 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 Casselman 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 Casselman 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 Casselman affiliated with any hospitals?

According to CMS data, Megan Casselman is affiliated with Midland Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Megan Casselman was last updated on August 13, 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.