Individual provider Active NPI

Megan Renee Eastman, ARNP

  • Nurse Practitioner
  • Fort Dodge, IA
National Provider Identifier
1003184599
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A108113 Issued in IA
Practice address
800 Kenyon Rd
Fort Dodge, IA 50501-5776
Phone
(515) 574-6840
Fax
(515) 576-7726
NPI assigned
Dec 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A108113 IA Primary

Addresses

Primary practice location

800 Kenyon Rd
Fort Dodge, IA 50501-5776

Mailing address

5880 University Ave
Suite 205
West Des Moines, IA 50266-8209
Phone (515) 633-3835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120213000602 IA Practitioner - Nurse Practitioner 4789841115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

800 Kenyon Rd
Fort Dodge, IA 50501-5776

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives-Iowa Corp Nurse Practitioner CurrentSince Mar 6, 2017 Accepting new patients
Trinity Regional Medical Center CurrentSince Nov 18, 2024 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Mar 6, 2017 Accepting new patients
Iowa Heart Center PC Past Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

800 Kenyon Rd
Ste S
Fort Dodge, IA 50501
Phone (515) 573-4141

800 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6800

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

5880 University Ave
Ste 205
West Des Moines, IA 50266

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/24c3ea72-6b18-4192-9262-677c412fb10a/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1003184599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 UNIVERSITY AVE",
            "address_2": "SUITE 205",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668209",
            "telephone_number": "515-633-3835",
            "fax_number": "515-633-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015776",
            "telephone_number": "515-574-6840",
            "fax_number": "515-576-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN",
        "first_name": "MEGAN",
        "middle_name": "RENEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A108113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.