Individual provider Active NPI

Megan Renee Coghlan, MSN, FNP

  • Community Health Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1104172931
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
F337378-1 Issued in NY
Practice address
555 S State St
Syracuse, NY 13202-2280
Phone
(315) 435-1707
Fax
(315) 435-1718
NPI assigned
Jul 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X F337378-1 NY Primary

Addresses

Primary practice location

555 S State St
Syracuse, NY 13202-2280

Mailing address

112 Kies Dr
Liverpool, NY 13090-3141
Phone (315) 406-3884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130314000144 NY Practitioner - Nurse Practitioner 4486899796 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crouse Medical Practice PLLCGroup PAC ID 8426189622, 187 clinicians
Crouse Health Hospital IncGroup PAC ID 9739173774, 155 clinicians

Practice addresses (Care Compare)

5000 Brittonfield Pkwy
Suite A125
East Syracuse, NY 13057-9230
Phone (315) 802-2601

5000 Brittonfield Pkwy
Suite B101
East Syracuse, NY 13057-9226
Phone (315) 470-7409

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

736 Irving Ave
Syracuse, NY 13210-1687
Phone (315) 470-7111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
337378NYMDObstetrics & Gynecology Physician
F337378-1NYMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Medical Practice PLLC CurrentSince Oct 13, 2025 Accepting new patients
Crouse Health Hospital, Inc. CurrentSince Aug 6, 2017 Accepting new patients
Crouse Medical Practice, PLLC CurrentSince Oct 13, 2025 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Aug 1, 2018 Accepting new patients
Crouse Health Hospital Inc CurrentSince Aug 6, 2017 Accepting new patients
Port City Emergency Physicians LLP CurrentSince Dec 1, 2012 Accepting new patients
Pathology Associates of Syracuse, PC Current Accepting new patients
Port City Emergency Physicians LLP CurrentSince Dec 1, 2012 Accepting new patients
Port City Emergency Physicians LLP Current Accepting new patients

Locations

75 Remit Dr
Chicago, IL 60675

830 County Road 64
Elmira, NY 14903
Phone (607) 739-0495

830 County Road 64
#19C
Elmira, NY 14903
Phone (607) 846-2030

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

Interoperability endpoints

  • Direct secure messaging: mcoghlan@hiemail.healtheconnections.org
  • Direct secure messaging: mcoghlan@crousemed.medentdirect.com

Organizations & group practices 9

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": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1104172931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 KIES DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903141",
            "telephone_number": "315-406-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S STATE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022280",
            "telephone_number": "315-435-1707",
            "fax_number": "315-435-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGHLAN",
        "first_name": "MEGAN",
        "middle_name": "RENEE",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NY",
            "license": "F337378-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.