Individual provider Active NPI

Megan Foody Skarr, APRN, FNP-C

  • Family Nurse Practitioner
  • Lisle, IL
National Provider Identifier
1013348325
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.011086 Issued in IL
Practice address
4979 Indiana Ave Ste 312
Lisle, IL 60532-3850
Phone
(312) 337-4150
Fax
(312) 337-4311
NPI assigned
Dec 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209011086 IL
Family Nurse Practitioner 363LF0000X 209.011086 IL Primary

Addresses

Primary practice location

4979 Indiana Ave Ste 312
Lisle, IL 60532-3850

Mailing address

4705 Forest Ave
Downers Grove, IL 60515-3524
Phone (708) 829-0017

Other names 1

  • Megan Marie Foody Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20211208000995 IL Practitioner - Nurse Practitioner 8527458488 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.011086ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Illinois Medical PC CurrentSince Feb 8, 2024 Accepting new patients
Premise Health of Illinois Medical PC Current Accepting new patients
Premise Health of Illinois Medical PC CurrentSince Feb 8, 2024 Accepting new patients
Amer I Alhussaini MD SC CurrentSince Nov 1, 2021 Accepting new patients
Premise Health of Illinois Medical PC PastSince Aug 11, 2024 Accepting new patients

Locations

16906 Collection Ctr Dr
Chicago, IL 60693

4979 Indiana Ave
Ste 312
Lisle, IL 60532
Phone (312) 337-4150

4979 Indiana Ave
Lisle, IL 60532
Phone (312) 337-4150

4 E Ogden Ave
Westmont, IL 60559
Phone (331) 221-2810

29 N Cass Ave
Ste A
Westmont, IL 60559
Phone (630) 324-6825

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.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1013348325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 FOREST AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153524",
            "telephone_number": "708-829-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4979 INDIANA AVE STE 312",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323850",
            "telephone_number": "312-337-4150",
            "fax_number": "312-337-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKARR",
        "first_name": "MEGAN",
        "middle_name": "FOODY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209011086",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.011086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "FOODY",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lisle, IL

Sources for this page

Verify at the official NPI Registry.