Individual provider Active NPI

Megan Larae Renner, FNP-C

  • Family Nurse Practitioner
  • North Platte, NE
National Provider Identifier
1053143065
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
115568 Issued in NE
Practice address
302 S Jeffers St
North Platte, NE 69101-5349
Phone
(308) 534-6687
Fax
(308) 534-1874
NPI assigned
Aug 19, 2024
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 115568 NE Primary

Addresses

Primary practice location

302 S Jeffers St
North Platte, NE 69101-5349

Mailing address

302 S Jeffers St
North Platte, NE 69101-5349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, CO2 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
I20240930000705 NE Practitioner - Nurse Practitioner 0941731178 Reassigns benefits to 1 organization
I20260302002734 CO Practitioner - Nurse Practitioner 0941731178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center for Health LLCGroup PAC ID 9931109758, 4 clinicians

Practice addresses (Care Compare)

302 S Jeffers St
North Platte, NE 69101-5349
Phone (308) 534-6687

900 Cedar St
Julesburg, CO 80737-1121
Phone (970) 474-3323

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sedgwick County Memorial Hospital CurrentSince Jan 5, 2026 Accepting new patients
Sedgwick County Memorial Hospital CurrentSince Jan 5, 2026 Accepting new patients
Sedgwick County Memorial Hospital CurrentSince Jan 5, 2026 Accepting new patients
The Center for Health LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

900 Cedar St
Julesburg, CO 80737
Phone (970) 474-3323

302 S Jeffers St
North Platte, NE 69101
Phone (308) 289-6370

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

Hospital & facility affiliations 2

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": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1053143065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S JEFFERS ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S JEFFERS ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015349",
            "telephone_number": "308-534-6687",
            "fax_number": "308-534-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNER",
        "first_name": "MEGAN",
        "middle_name": "LARAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "115568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.