Individual provider Active NPI

Megan E Mayes, NP

  • Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1003311309
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71008042A Issued in IN
Practice address
8600 N Kentucky Ave
Evansville, IN 47725
Phone
(812) 492-5055
Fax
(812) 402-9857
NPI assigned
Mar 28, 2018
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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 71008042A IN Primary

Addresses

Primary practice location

8600 N Kentucky Ave
Evansville, IN 47725

Mailing address

123 N McCreary St
Fort Branch, IN 47648-1313
Phone (812) 753-1039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180629001405 IN Practitioner - Nurse Practitioner 3971859141 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kathalene Keller Riney NP LLCGroup PAC ID 7315354115, 2 clinicians
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

220 E Virginia St
Evansville, IN 47711-5530
Phone (812) 777-0127

2717 W Broadway St
Princeton, IN 47670-9420
Phone (812) 635-2036

4152 W State Rd
Hanover, IN 47243-9070
Phone (901) 351-1791

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FC Indiana, LLC Nurse Practitioner CurrentSince Jun 21, 2024 Accepting new patients
Metro Infectious Disease Consultants, LLC Nurse Practitioner CurrentSince Mar 1, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 6, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Carol Ann Goodman MD LLC CurrentSince Oct 2, 2023 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 6, 2024 Accepting new patients
Kathalene Keller Riney NP LLC CurrentSince Jul 1, 2025 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Mar 1, 2019 Accepting new patients
FC Indiana, LLC CurrentSince Jun 21, 2024 Accepting new patients
West Side Family Medicine LLC Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

1909 W Franklin St
Evansville, IN 47712
Phone (812) 456-9736

220 E Virginia St
Evansville, IN 47711
Phone (812) 431-5983

2556 Waterbridge Way
Evansville, IN 47710

1159 W Jefferson St
Ste 204
Franklin, IN 46131

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

3411 N Briarwood Ln
Muncie, IN 47304
Phone (317) 870-1970

Organizations & group practices 12

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

Hospital & facility affiliations 2

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1003311309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N MCCREARY ST",
            "city": "FORT BRANCH",
            "state": "IN",
            "postal_code": "476481313",
            "telephone_number": "812-753-1039",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 N KENTUCKY AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47725",
            "telephone_number": "812-492-5055",
            "fax_number": "812-402-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYES",
        "first_name": "MEGAN",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008042A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.