Active NPI
Megan Walker
- Advanced Practice Midwife
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 209.014973
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370966854017 | Medicaid | IL |
Other names 1
- Megan Lynn
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209.014973 | IL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Health Service and Development Corp | Current | Accepting new patients | |
| Rural Health, Inc. | Current | Accepting new patients | |
| Shawnee Health Service and Development Corp | Current | Accepting new patients | |
| Rural Health, Inc. | Current | 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
- megan.walker.1@14668.direct.athenahealth.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Carterville, IL
- NPI 1639295314
-
- Federally Qualified Health Center (FQHC)
- Anna, IL
- NPI 1982666384
-
- Community/Retail Pharmacy
- Anna, IL
- NPI 1801634183
-
- Community/Retail Pharmacy
- Carbondale, IL
- NPI 1760253447
-
- Federally Qualified Health Center (FQHC)
- Dongola, IL
- NPI 1366506628
-
- Federally Qualified Health Center (FQHC)
- Vienna, IL
- NPI 1932263332
-
- Federally Qualified Health Center (FQHC)
- Marion, IL
- NPI 1043902752
-
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1457381774
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.