Individual provider Active NPI

Meagan Sue Menken, ARNP

  • Family Nurse Practitioner
  • Waterloo, IA
National Provider Identifier
1043567514
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A-122144 Issued in IA
Practice address
220 Southbrooke Dr
Waterloo, IA 50702-5802
Phone
(319) 236-7720
Fax
(319) 236-7739
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A-122144 IA Primary

Addresses

Primary practice location

220 Southbrooke Dr
Waterloo, IA 50702-5802

Mailing address

PO Box 658
220 Southbrooke Drive
Waterloo, IA 50704-0658
Phone (319) 236-7720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20121105000587 IA Practitioner - Nurse Practitioner 6305097080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

5100 Prairie Pkwy
Suite 101
Cedar Falls, IA 50613-8155
Phone (319) 553-0828

Hospital & facility affiliations

  • Allen Hospital Hospital, Waterloo, IA, CCN 160110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Sep 17, 2018 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Allen Memorial Hospital Corporation Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1000 Brandilynn Blvd
Cedar Falls, IA 50613
Phone (319) 553-0828

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

Interoperability endpoints

  • Direct secure messaging: mmenken132677@direct.unitypoint.org

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": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1043567514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "address_2": "220 SOUTHBROOKE DRIVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507040658",
            "telephone_number": "319-236-7720",
            "fax_number": "319-236-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SOUTHBROOKE DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025802",
            "telephone_number": "319-236-7720",
            "fax_number": "319-236-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENKEN",
        "first_name": "MEAGAN",
        "middle_name": "SUE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-122144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.