Individual provider Active NPI

Megan M O'Donovan, PA-C

  • Physician Assistant
  • Shickshinny, PA
National Provider Identifier
1114185956
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA053311 Issued in PA
Practice address
26 N Main St
Shickshinny, PA 18655-1302
Phone
(570) 542-4141
Fax
(570) 542-2580
NPI assigned
May 29, 2008
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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 MA053311 PA Primary

Addresses

Primary practice location

26 N Main St
Shickshinny, PA 18655-1302

Mailing address

1084 Plains Township Blvd
Wilkes Barre, PA 18702-7012
Phone (570) 825-8741

Other practice location 1

206 E Brown St
East Stroudsburg, PA 18301-3094
Phone (570) 476-3353

Other practice location 2

1701 Innovation Dr
York, PA 17408-8815
Phone (717) 988-0000

Other identifiers 1

IdentifierTypeStateIssuer
0504548MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 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
I20090403000529 PA Practitioner - Physician Assistant 3476600693 Reassigns benefits to 9 organizations
I20240606000812 NY Practitioner - Physician Assistant 3476600693 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024825NYMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona CurrentSince Dec 3, 2015 Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant CurrentSince Apr 1, 2016 Accepting new patients
Upmc Bedford Memorial CurrentSince Jun 29, 2016 Accepting new patients
The Gettysburg Hospital CurrentSince Dec 23, 2019 Accepting new patients
The Gettysburg Hospital CurrentSince Dec 23, 2019 Accepting new patients
Upmc Altoona CurrentSince Dec 3, 2015 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Jan 1, 2016 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 24, 2024 Accepting new patients
Upmc Bedford Memorial CurrentSince Jun 29, 2016 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 24, 2024 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant Past Accepting new patients
Romes Urgent Care Services LLC PastSince Sep 1, 2011 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Physician Assistant Past Accepting new patients

Locations

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

2701 Holme Ave
Ste 100
Philadelphia, PA 19152
Phone (215) 335-3972

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16196/brand/1/csg/1/fhir/r4
  • Direct secure messaging: modonovan2969798@direct.trinity-health.org

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1114185956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 PLAINS TOWNSHIP BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027012",
            "telephone_number": "570-825-8741",
            "fax_number": "570-825-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 N MAIN ST",
            "city": "SHICKSHINNY",
            "state": "PA",
            "postal_code": "186551302",
            "telephone_number": "570-542-4141",
            "fax_number": "570-542-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 E Brown St",
            "address_purpose": "LOCATION",
            "city": "East Stroudsburg",
            "state": "PA",
            "postal_code": "183013094",
            "country_code": "US",
            "telephone_number": "570-476-3353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Innovation Dr",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174088815",
            "country_code": "US",
            "telephone_number": "717-988-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DONOVAN",
        "first_name": "MEGAN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0504548",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shickshinny, PA

Sources for this page

Verify at the official NPI Registry.