MEGHAN LYNN LIEBUM (NP) – Family Nurse Practitioner, NPI 1063864239
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
9,049 NURSE PRACTITIONER in MA
Provider Addresses for MEGHAN LYNN LIEBUM (NP)
5937 DONNELLY AVE
FORT WORTH, TX 761075811
Phone: (281) 799-2725
Type: Mailing
55 Lake Ave N
Department of Emergency Medicine
Worcester, MA 016550002
Phone: (508) 421-1400
Fax: (508) 421-1490
Type: Location
5937 Donnelly Ave
Fort Worth, TX 761075811
Phone: (281) 799-2725
Type: Location
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
BOSTON, MA 022415348
Phone:
Type: Mailing
UMASS Memorial Medical Center University Campus Hospital, 55, Lake Avenue North, Worcester, Worcester County, Massachusetts, 01653, United States
DEPARTMENT OF EMERGENCY MEDICINE
WORCESTER, MA 016550002
Phone: (508) 421-1400
Fax: (508) 421-1490
Type: Location
4480 BRYANT IRVIN RD
FORT WORTH, TX 761321064
Phone: (682) 212-9160
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-02-13
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180213001424 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 305 | 32 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 130 | 130 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 48 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 51 | 49 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 44 | 22 | $0 |
Insurance plans in this area (ZIP 76107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | LA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | TX | |
| Physician Assistant | TN | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX |
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