MAGGIE JANE IMPASTATO (MSN,RN, AGACNP-BC) – Nurse Practitioner, NPI 1174047120

MAGGIE JANE IMPASTATO (MSN,RN, AGACNP-BC) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN,RN, AGACNP-BC. They hold a License No. AP134711 (TX). The NPI Number for MAGGIE JANE IMPASTATO (MSN,RN, AGACNP-BC) is 1174047120

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MAGGIE JANE IMPASTATO (MSN,RN, AGACNP-BC)
NPI
1174047120
Phone
(254) 202-9330
Address
PO BOX 848491
Enumeration Date
1 August 2017
Last Update Date
23 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2542027950
Graduation Year
2017 (9 years ago)
PAC ID
2668747171
Group Practice PAC ID
1153304456
Professional Enrollment ID
I20171010001705
Address ID
TX767128954WA50XXXBLVD404

Contacts

Secure Messaging
mpetrey34358@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

22,209 NURSE PRACTITIONER in TX

Provider Addresses for MAGGIE JANE IMPASTATO (MSN,RN, AGACNP-BC)

  • PO BOX 848491

    DALLAS, TX 752848491

    Phone: (254) 202-9330

    Fax: (254) 202-9349

    Type: Mailing

  • 9306, Oak Hill Drive, Woodway, McLennan County, Texas, 76712, United States

    WOODWAY, TX 767127723

    Phone: (618) 318-5936

    Type: Mailing

  • 100 HILLCREST MEDICAL BLVD

    WACO, TX 767128897

    Phone: (254) 202-2000

    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: 2017-10-10

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171010001705INurse PractitionerTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5454$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3535$0
99291Critical care, first 30-74 minutes2018$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153304456View full group profile
NameSpecialtyState
Internal MedicineTX
Family PracticeTX
Nurse PractitionerTX
Hospitalist, Internal MedicineAL
-TX
Family PracticeTX
U R O L O G YTX
Internal MedicineTX
Internal MedicineTX
Orthopedic SurgeryTX

Reviews

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Frequently asked questions

Does MAGGIE JANE IMPASTATO (MSN,RN, AGACNP-BC) have a public NPI I can cite?
Public records show MAGGIE JANE IMPASTATO (MSN,RN, AGACNP-BC) under NPI 1174047120.
Should I treat MAGGIE JANE IMPASTATO (MSN,RN, AGACNP-BC) as an active provider?
Patients and plans typically see MAGGIE JANE IMPASTATO (MSN,RN, AGACNP-BC) as active in the national extract.
Which specialty label fits MAGGIE JANE IMPASTATO (MSN,RN, AGACNP-BC)?
NPPES ties MAGGIE JANE IMPASTATO (MSN,RN, AGACNP-BC) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MAGGIE JANE IMPASTATO (MSN,RN, AGACNP-BC) in Dallas, Texas?
For routing, start with Dallas, Texas for MAGGIE JANE IMPASTATO (MSN,RN, AGACNP-BC), then verify phone and hours locally.
Why is information missing for MAGGIE JANE IMPASTATO (MSN,RN, AGACNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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