NPIMap

Individual provider Active NPI

Megan Brandon, PAC

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1073148508
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2191 Issued in NV
Practice address
555 N Arlington Ave
Reno, NV 89503-4723
Phone
(775) 786-3040
Fax
(775) 348-3051
NPI assigned
Mar 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2191 NV Primary

Addresses

Primary practice location

555 N Arlington Ave
Reno, NV 89503-4723

Mailing address

555 N Arlington Ave
Reno, NV 89503-4723
Phone (775) 786-3040

Other identifiers 1

IdentifierTypeStateIssuer
15087640OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbrandon158353@Direct.renown.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20211021001651 NV Practitioner - Physician Assistant 0345638417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reno Orthopaedic Clinic LTDGroup PAC ID 2567355316, 96 clinicians

Practice addresses (Care Compare)

555 N Arlington Ave
Reno, NV 89503-4723
Phone (775) 786-3040

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2191NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Orthopaedic Clinic, LTD Physician Assistant CurrentSince Mar 7, 2023 Accepting new patients
Reno Orthopaedic Clinic, LTD Physician Assistant CurrentSince Mar 7, 2023 Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Reno Orthopaedic Clinic, LTD Physician Assistant Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1365 Medical Pkwy
Carson City, NV 89703

555 N Arlington Ave
Reno, NV 89503

Interoperability endpoints

  • Direct secure messaging: mbrandon158353@direct.renown.org

Organizations & group practices 8

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 4

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1073148508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N ARLINGTON AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034723",
            "telephone_number": "775-786-3040",
            "fax_number": "775-786-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N ARLINGTON AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034723",
            "telephone_number": "775-786-3040",
            "fax_number": "775-348-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "MEGAN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15087640",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbrandon158353@Direct.renown.org",
            "affiliation": "N",
            "address_1": "555 N Arlington Ave",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895034723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.