Active NPI
Megan Witowski, CNM, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Urbana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 309.015165
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 309.015165 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promise Healthcare NFP | Current | Accepting new patients | |
| Promise Healthcare NFP | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Kevin Elliott Counseling PC | Current | 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
- mleech209607@carlehiedirect.net
- 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.
-
- Mental Health Counselor
- Urbana, IL
- NPI 1255357422
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1578821005
-
- Federally Qualified Health Center (FQHC)
- Rantoul, IL
- NPI 1629846928
-
- Federally Qualified Health Center (FQHC)
- Champaign, IL
- NPI 1801687728
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.