Individual provider Active NPI

Megan Elizabeth Psiones, MD

  • Pediatrics Physician
  • Clarksville, IN
National Provider Identifier
1063942340
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01084229A Issued in IN
Practice address
2051 Clevidence Blvd Ste C
Clarksville, IN 47129-2278
Phone
(812) 280-6623
Fax
(812) 666-7688
NPI assigned
Jun 19, 2017
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01084229A IN Primary

Addresses

Primary practice location

2051 Clevidence Blvd Ste C
Clarksville, IN 47129-2278

Mailing address

86 W Underwood St Ste 202
Orlando, FL 32806-1110
Phone (407) 649-6876

Other names 1

  • Megan Elizabeth Graeter Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mgraeter193358@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200916000381 IN Practitioner - Pediatric Medicine 9032537550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Louisville School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2051 Clevidence Blvd
Suite C
Clarksville, IN 47129-2278
Phone (812) 280-6623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01084229AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Childrens Medical Group, LLC Pediatrics CurrentSince Sep 1, 2020 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Sep 1, 2020 Accepting new patients

Locations

2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030

2051 Clevidence Blvd
Ste C
Clarksville, IN 47129
Phone (812) 280-6623

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1063942340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 W UNDERWOOD ST STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "407-649-6876",
            "fax_number": "407-872-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 CLEVIDENCE BLVD STE C",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292278",
            "telephone_number": "812-280-6623",
            "fax_number": "812-666-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSIONES",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01084229A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgraeter193358@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "2051 Clevidence Blvd Ste C",
            "city": "Clarksville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471292278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2051 Clevidence Blvd Ste C",
            "city": "Clarksville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471292278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "GRAETER",
            "middle_name": "ELIZABETH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarksville, IN

Sources for this page

Verify at the official NPI Registry.