Active NPI
Megan Elizabeth Kretz, MSN, FNP-BC
- Family Nurse Practitioner
- Hannibal, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2019021627
- Practice address
- 6500 Hospital Dr
Hannibal, MO 63401-6890 - Phone
- (573) 629-3441
- Fax
- (573) 629-3423
- NPI assigned
- May 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2018036838 | MO | |
| Registered Nurse | 163W00000X | 041401726 | IL | |
| Family Nurse Practitioner | 363LF0000X | 2019021627 | MO | Primary |
Addresses
Primary practice location
6500 Hospital Dr
Hannibal, MO 63401-6890
Mailing address
PO Box 1239
Hannibal, MO 63401-1239
Phone (573) 629-3441
Other practice location 1
3650 Stardust Dr
Hannibal, MO 63401-2480
Phone (573) 231-0660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6500 Hospital Dr
Hannibal, MO 63401-6890
Phone (573) 248-1300
Hospital & facility affiliations
- Hannibal Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041401726 | IL | MD | Registered Nurse |
| 2018036838 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| Hannibal Regional Healthcare System, Inc | Current | Accepting new patients |
Locations
6500 Hospital Dr
Ste 2A
Hannibal, MO 63401
Phone (573) 629-3400
6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400
3650 Stardust Dr
Hannibal, MO 63401
Phone (573) 231-0660
Interoperability endpoints
- megankretz@hrmg.allscriptsdirect.net
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1134311392
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hannibal, MO
- NPI 1922042704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1003471863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1239",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634011239",
"telephone_number": "573-629-3441",
"fax_number": "573-629-3423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 HOSPITAL DR",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634016890",
"telephone_number": "573-629-3441",
"fax_number": "573-629-3423"
}
],
"practiceLocations": [
{
"address_1": "3650 Stardust Dr",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634012480",
"country_code": "US",
"telephone_number": "573-231-0660",
"fax_number": "573-231-0687",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRETZ",
"first_name": "MEGAN",
"middle_name": "ELIZABETH",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-07",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2018036838",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041401726",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2019021627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.