Individual provider Active NPI

Meagan Shamoun McKay, FNP-C, BSN, RN

  • Cardiovascular Disease Physician
  • Waterford, MI
National Provider Identifier
1013794338
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4704337332 Issued in MI
Practice address
6889 Highland Rd
Waterford, MI 48327-1658
Phone
(248) 666-5200
Fax
(248) 666-5069
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 4704337332 MI Primary

Addresses

Primary practice location

6889 Highland Rd
Waterford, MI 48327-1658

Mailing address

784 Henrietta St
Birmingham, MI 48009-1967
Phone (248) 497-0964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20251007000354 MI Practitioner - Nurse Practitioner 7214434471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated and Preventative Health Care Associates PLCGroup PAC ID 9032409701, 2 clinicians

Practice addresses (Care Compare)

4057 Pioneer Dr
Suite 300
Commerce TWP, MI 48390-1363
Phone (248) 669-5050

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704337332MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Care PC Single Specialty CurrentSince Sep 17, 2023 Accepting new patients
Integrated Health Care Associates PC Single Specialty Current Accepting new patients
Heart Care PC Single Specialty CurrentSince Sep 17, 2023 Accepting new patients
Integrated & Preventative Health Care Associates PLC Single Specialty CurrentSince Sep 1, 2025 Accepting new patients

Locations

4057 Pioneer Dr
Ste 300
Commerce Township, MI 48390
Phone (248) 669-5050

6889 Highland Rd
Waterford, MI 48327
Phone (248) 666-5200

Interoperability endpoints

  • Direct secure messaging: meagan.mckay.1@13176.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20439/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1013794338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 HENRIETTA ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091967",
            "telephone_number": "248-497-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6889 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271658",
            "telephone_number": "248-666-5200",
            "fax_number": "248-666-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "MEAGAN",
        "middle_name": "SHAMOUN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4704337332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.