Active NPI
Megan Wilson
- Family Medicine Physician
- Longmont, CO
National Provider Identifier
1063374627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F09251457
- Practice address
- 1760 E Ken Pratt Blvd Ste 205
Longmont, CO 80504-5311 - Phone
- (720) 718-3930
- Fax
- (720) 718-0939
- NPI assigned
- Dec 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.1001512-NP | CO | |
| Family Medicine Physician | 207Q00000X | F09251457 | CO | Primary |
Addresses
Primary practice location
1760 E Ken Pratt Blvd Ste 205
Longmont, CO 80504-5311
Mailing address
1760 E Ken Pratt Blvd Ste 205
Longmont, CO 80504-5311
Phone (720) 718-3930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F09251457 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1063374627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 E KEN PRATT BLVD STE 205",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805045311",
"telephone_number": "720-718-3930",
"fax_number": "720-718-0939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 E KEN PRATT BLVD STE 205",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805045311",
"telephone_number": "720-718-3930",
"fax_number": "720-718-0939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-02",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.1001512-NP",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "F09251457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.