NPIMap

Individual provider Active NPI

Megan Cory McIntyre, PA-C

  • Medical Physician Assistant
  • Kuna, ID
National Provider Identifier
1053644898
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
825 W Deer Flat Rd
Kuna, ID 83634-1275
Phone
(208) 922-3355
Fax
(678) 553-1263
NPI assigned
Sep 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

825 W Deer Flat Rd
Kuna, ID 83634-1275

Mailing address

825 W Deer Flat Rd
Kuna, ID 83634-1275
Phone (208) 922-3355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180806003408 ID Practitioner - Physician Assistant 3678614690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Family Medicine PLLCGroup PAC ID 2264494798, 5 clinicians

Practice addresses (Care Compare)

825 W Deer Flat Rd
Suite 150
Kuna, ID 83634-1266
Phone (208) 922-3355

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kuna Healthcare Clinic, PLLC PastSince Mar 4, 2019 Accepting new patients
Moses Lake Community Health Center Past Accepting new patients
Jones Foot & Ankle LLC PastSince Jul 1, 2026 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: megan.mcintyre@93374147657732.direct.elationemr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FBJCBA/Endpoint/FBJCBA

Organizations & group practices 5

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 7

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": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1053644898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W DEER FLAT RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341275",
            "telephone_number": "208-922-3355",
            "fax_number": "678-553-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W DEER FLAT RD",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836341275",
            "telephone_number": "208-922-3355",
            "fax_number": "678-553-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "MEGAN",
        "middle_name": "CORY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kuna, ID

Sources for this page

Verify at the official NPI Registry.