Individual provider Active NPI

Megan Walker

  • Advanced Practice Midwife
  • Carbondale, IL
National Provider Identifier
1013464692
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209.014973 Issued in IL
Practice address
101 S Wall St
Carbondale, IL 62901-3021
Phone
(618) 519-9200
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209.014973 IL Primary

Addresses

Primary practice location

101 S Wall St
Carbondale, IL 62901-3021

Mailing address

PO Box 577
109 California Street
Carterville, IL 62918-0577
Phone (618) 985-8221

Other practice location 1

202 W Jackson St
Carbondale, IL 62901-1409
Phone (618) 457-0465

Other identifiers 1

IdentifierTypeStateIssuer
370966854017MedicaidIL

Other names 1

  • Megan Lynn Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address megan.walker.1@14668.direct.athenahealth.com Direct

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161227000234 IL Practitioner - Certified Nurse Midwife (CNM) 2860773280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shawnee Health Service and Development CorpGroup PAC ID 1658285671, 51 clinicians

Practice addresses (Care Compare)

101 S Wall St
Carbondale, IL 62901-3021
Phone (618) 519-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
209.014973ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Health Service and Development Corp Current Accepting new patients
Rural Health, Inc. CurrentSince Jan 26, 2019 Accepting new patients
Shawnee Health Service and Development Corp CurrentSince Nov 21, 2016 Accepting new patients
Rural Health, Inc. CurrentSince Jan 26, 2019 Accepting new patients
Rural Health, Inc. Past Accepting new patients
Rural Health, Inc. Past Accepting new patients
Shawnee Health Service and Development Corp Past Accepting new patients
Shawnee Health Service and Development Corp Past Accepting new patients

Locations

513 N Main St
Anna, IL 62906
Phone (618) 833-4471

202 W Jackson St
Carbondale, IL 62901
Phone (618) 457-0465

101 S Wall St
Carbondale, IL 62901
Phone (618) 529-0991

109 California St
Carterville, IL 62918
Phone (618) 985-8221

1006 S Division St
Carterville, IL 62918
Phone (618) 985-4841

1506 Sioux Dr
Marion, IL 62959
Phone (618) 997-5270

Interoperability endpoints

  • Direct secure messaging: megan.walker.1@14668.direct.athenahealth.com
  • Direct secure messaging: megan.walker.1@7601.direct.athenahealth.com

Organizations & group practices 8

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1013464692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "address_2": "109 CALIFORNIA STREET",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629180577",
            "telephone_number": "618-985-8221",
            "fax_number": "618-985-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WALL ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013021",
            "telephone_number": "618-519-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011409",
            "country_code": "US",
            "telephone_number": "618-457-0465",
            "fax_number": "618-457-8022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209.014973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370966854017",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "megan.walker.1@14668.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 S Wall St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629013021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carbondale, IL

Sources for this page

Verify at the official NPI Registry.