Individual provider Active NPI

Megan Patricia Greteman, PA-C

  • Physician Assistant
  • Jemez Pueblo, NM
National Provider Identifier
1023593472
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
110 Sheep Springs Cir
Jemez Pueblo, NM 87024-0731
Phone
(575) 834-7413
Fax
(575) 834-3081
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

110 Sheep Springs Cir
Jemez Pueblo, NM 87024-0731

Mailing address

110 Sheep Springs Cir
Jemez Pueblo, NM 87024-0731
Phone (575) 834-7413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190306001548 NM Practitioner - Physician Assistant 9234478447 Reassigns benefits to 1 organization
I20251222003790 TX Practitioner - Physician Assistant 9234478447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pueblo of JemezGroup PAC ID 3971584509, 22 clinicians

Practice addresses (Care Compare)

110 Sheep Springs
Jemez Pueblo, NM 87024
Phone (575) 834-7413

110 Sheep Springs
Jemez Pueblo, NM 87024-0279

P O Box
Suite 279
Jemez Pueblo, NM 87024-0279

PO Box
Suite 279
Jemez Pueblo, NM 87024

PO Box
Suite 279
Jemez Pueblo, NM 87024-0279

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo of Jemez CurrentSince Oct 14, 2025 Accepting new patients
Cibola General Hospital Corporation CurrentSince Jan 2, 2019 Accepting new patients
Pueblo of Jemez CurrentSince Oct 14, 2025 Accepting new patients

Locations

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

Organizations & group practices 3

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 1

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1023593472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SHEEP SPRINGS CIR",
            "city": "JEMEZ PUEBLO",
            "state": "NM",
            "postal_code": "870240731",
            "telephone_number": "575-834-7413",
            "fax_number": "575-834-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SHEEP SPRINGS CIR",
            "city": "JEMEZ PUEBLO",
            "state": "NM",
            "postal_code": "870240731",
            "telephone_number": "575-834-7413",
            "fax_number": "575-834-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETEMAN",
        "first_name": "MEGAN",
        "middle_name": "PATRICIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jemez Pueblo, NM

Sources for this page

Verify at the official NPI Registry.