Individual provider Active NPI

Megan Witowski, CNM, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Urbana, IL
National Provider Identifier
1093351413
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
309.015165 Issued in IL
Practice address
2001 Philo Rd
Urbana, IL 61802-8007
Phone
(217) 398-9066
Fax
(217) 398-9077
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209020531 IL
Advanced Practice Midwife 367A00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 309.015165 IL Primary

Addresses

Primary practice location

2001 Philo Rd
Urbana, IL 61802-8007

Mailing address

611 W Park St
Urbana, IL 61801-2529

Other practice location 1

611 W Park St
Urbana, IL 61801-2529
Phone (217) 383-3140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200130000498 IL Practitioner - Certified Nurse Midwife (CNM) 6305272915 Reassigns benefits to 2 organizations
I20251007000133 IL Practitioner - Nurse Practitioner 6305272915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin Elliott Counseling PCGroup PAC ID 0143226860, 12 clinicians

Practice addresses (Care Compare)

2001 Philo Rd
Urbana, IL 61802-8007
Phone (217) 398-9066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science

State licenses

LicenseStateTypeSpecialty
309.015165ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promise Healthcare NFP CurrentSince May 2, 2024 Accepting new patients
Promise Healthcare NFP CurrentSince May 2, 2024 Accepting new patients
Carle Health Care Incorporated CurrentSince Jun 27, 2022 Accepting new patients
Kevin Elliott Counseling PC CurrentSince Sep 9, 2025 Accepting new patients
Promise Healthcare NFP Current Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

819 Bloomington Rd
Champaign, IL 61820
Phone (217) 356-1558

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

2001 Philo Rd
Urbana, IL 61802
Phone (217) 552-1211

1002 S Race St
Urbana, IL 61801
Phone (217) 239-4220

Interoperability endpoints

  • Direct secure messaging: mleech209607@carlehiedirect.net
  • Direct secure messaging: megan.leech.d1.p11@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1093351413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PHILO RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618028007",
            "telephone_number": "217-398-9066",
            "fax_number": "217-398-9077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 W Park St",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618012529",
            "country_code": "US",
            "telephone_number": "217-383-3140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITOWSKI",
        "first_name": "MEGAN",
        "credential": "CNM, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209020531",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "309.015165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

Verify at the official NPI Registry.