TRICIA NICOLE MEWBOURNE PA
NPI 1790889004
Physician Assistant - Surgical in Plano, TX

Active since September 08, 2006PECOS EnrolledAccepts Medicare Assignment
4708 ALLIANCE BLVD, SUITE 810, PLANO, TX 75093(972) 985-2797(972) 985-4797 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tricia Nicole Mewbourne Pa NPPES

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

TRICIA NICOLE MEWBOURNE PA (NPI 1790889004) is an individual surgical provider in Plano, Texas, licensed in Texas (07016) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1790889004
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameTRICIA NICOLE MEWBOURNECredential: PA
Location Address4708 ALLIANCE BLVD, SUITE 810Plano, TX 75093-5340
Mailing Address8080 Independence Pkwy, Ste 230Plano, TX 75025-4013 · (972) 985-2797 · Fax (972) 985-4797
Fax(972) 985-4797
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 8, 2006
Last NPPES UpdateJune 25, 2018
NPI 1790889004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TX · 07016
4708 ALLIANCE BLVD, Plano, TX 75093

Other Identifiers 2

Medicaid009939411AL
Other51004134AL · Blue Cross Blue Shield

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

Tricia Nicole Mewbourne Pa 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 ID4385640903
PECOS Enrollment IDI20110223001091
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.

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.

Specialist
4708 ALLIANCE BLVD, SUITE 645
PLANO, TX 75093
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4708 ALLIANCE BLVD, SUITE 810
PLANO, TX 75093
Nurse Practitioner (Family)
4708 ALLIANCE BLVD, PAVILION I, SUITE 600
PLANO, TX 75093
Ophthalmology
4708 ALLIANCE BLVD, SUITE 825
PLANO, TX 75093
Internal Medicine (Gastroenterology)
4708 ALLIANCE BLVD, PAVILION I, SUITE 200
PLANO, TX 75093
Prosthetic/Orthotic Supplier
4708 ALLIANCE BLVD, SUITE# 240
PLANO, TX 75093
Internal Medicine (Gastroenterology)
4708 ALLIANCE BLVD, SUITE 300, BAYLOR MEDICAL PLAZA 1
PLANO, TX 75093
Ophthalmology
4708 ALLIANCE BLVD, SUITE 785
PLANO, TX 75093

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 Tricia Mewbourne's NPI number?

The NPI number for Tricia Mewbourne is 1790889004. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Tricia Mewbourne located?

Tricia Mewbourne practices at 4708 Alliance Blvd Suite 810, Plano, TX 75093. The listed phone number is (972) 985-2797.

What is Tricia Mewbourne's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Tricia Mewbourne enrolled in Medicare?

Yes. Tricia Mewbourne 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.

When was this NPI record last updated?

The NPPES record for Tricia Mewbourne was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.