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Active NPI 1750069258 Individual Practitioner Female Practitioner

Mary Ann Coghlan , APRN, CPNP-PC

Nurse Practitioner - Pediatrics • Georgetown, TX

Professional Overview & Biography Verified Profile Summary

Mary Coghlan, APRN, CPNP-PC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Georgetown, TX. Practice services are available at 1526 LEANDER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1526 Leander Rd

Georgetown, TX 786288801

Telephone 5128637586
Associated Practice Facility / Clinic
🏢 River Ridge Pediatrics, P.a. Facility NPI 1790042158

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Georgetown, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Georgetown, TX (2253 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-06
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX 1127035

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1275626566

Doctor of Medicine (M.D.)

Shelby O'banon , MSN, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1396698387

Master of Science in Nursing, CPNPPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 06, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2023

Registered at 1526 LEANDER RD, GEORGETOWN, TX 786288801 (Tel: 5128637586)

📍
Updated Business Mailing Address July 06, 2023

Registered at 137 JOSEY WALES DR, JARRELL, TX 765370730 (Tel: 4695312721)

👤
Provider Name / Credentials Updated July 06, 2023

Recorded as MARY COGHLAN, APRN, CPNP-PC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2023

Nurse Practitioner (License #1127035 in TX)

🟢
Initial NPI Registration & Enumeration July 06, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750069258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2023
Last Update: July 06, 2023
Sole Proprietor: No
Update or Correct Profile

Mailing Address

137 Josey Wales Dr

Jarrell, TX 765370730

Phone: 4695312721

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.