Individual provider Active NPI

Megan Elizabeth Lucas, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coos Bay, OR
National Provider Identifier
1063832111
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10044337 Issued in OR
Practice address
1300 N Bayshore Dr
Coos Bay, OR 97420-2526
Phone
(541) 435-7000
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201042305RN OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10044337 OR Primary

Addresses

Primary practice location

1300 N Bayshore Dr
Coos Bay, OR 97420-2526

Mailing address

2437 Marion St
North Bend, OR 97459-2639

Other names 1

  • Miss Megan Goll Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20250904004549 OR Practitioner - Nurse Practitioner 0042712598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1890 Waite St
Suite 1
North Bend, OR 97459-1229

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201042305RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Waterfall Clinic Incorporated Current Accepting new patients
Waterfall Clinic, Incorporated CurrentSince Oct 7, 2025 Accepting new patients
Waterfall Clinic, Incorporated Psychiatric/Mental Health CurrentSince Oct 7, 2025 Accepting new patients

Locations

1890 Waite St
Ste 1
North Bend, OR 97459
Phone (541) 435-7033

Interoperability endpoints

  • Direct secure messaging: mlucas836170@direct.ochin.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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1063832111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 MARION ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N BAYSHORE DR",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202526",
            "telephone_number": "541-435-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201042305RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10044337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "GOLL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coos Bay, OR

Sources for this page

Verify at the official NPI Registry.