Individual provider Active NPI

Megan Marie Nickell, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Olathe, KS
National Provider Identifier
1033864079
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
TMP-160604 Issued in KS
Practice address
1125 W Spruce St
Olathe, KS 66061-3123
Phone
(913) 826-4200
NPI assigned
Feb 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X TMP-160604 KS Primary

Addresses

Primary practice location

1125 W Spruce St
Olathe, KS 66061-3123

Mailing address

5944 E 14TH St
Kansas City, MO 64126-2036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20220303000342 KS Practitioner - Nurse Practitioner 8527452846 Reassigns benefits to 1 organization
I20230301000364 MO Practitioner - Nurse Practitioner 8527452846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bee Well Psychiatric Associates, LLCGroup PAC ID 8426484528, 4 clinicians

Practice addresses (Care Compare)

7050 W 107TH St
Suite 10
Overland Park, KS 66212-1921
Phone (816) 682-8559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TMP-160604KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bee Well Psychiatric Associates, LLC Psychiatric/Mental Health CurrentSince Jul 24, 2023 Accepting new patients
Excelsior Springs City Hospital Current Accepting new patients
Excelsior Springs City Hospital CurrentSince Jan 1, 2023 Accepting new patients

Locations

7050 W 107th St
Ste 10
Overland Park, KS 66212
Phone (660) 270-7110

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1033864079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 E 14TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641262036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W SPRUCE ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660613123",
            "telephone_number": "913-826-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELL",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "TMP-160604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.