NPIMap

Individual provider Active NPI

Megan Kyna Spicer, N.P.

  • Acute Care Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1114335106
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704248634 Issued in MI
Practice address
744 W Michigan Ave
Suite 300
Jackson, MI 49201-1900
Phone
(517) 768-0600
Fax
(517) 768-0606
NPI assigned
Jul 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704248634 MI Primary

Addresses

Primary practice location

744 W Michigan Ave
Suite 300
Jackson, MI 49201-1900

Mailing address

744 W Michigan Ave
Suite 300
Jackson, MI 49201-1900
Phone (517) 768-0600

Other practice location 1

809 E Michigan Ave
Grayling, MI 49738-1417
Phone (989) 348-6610

Other practice location 2

829 N Center Ave Ste 260
Gaylord, MI 49735-1597
Phone (989) 731-6405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20141110001960 MI Practitioner - Nurse Practitioner 5294957130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Healthcare GraylingGroup PAC ID 2062736655, 64 clinicians

Practice addresses (Care Compare)

809 E Michigan Ave
Grayling, MI 49738-1417
Phone (989) 348-0594

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Grayling CurrentSince Aug 25, 2023 Accepting new patients
Munson Healthcare Grayling Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Aug 25, 2023 Accepting new patients
Munson Healthcare Grayling CurrentSince Aug 25, 2023 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Aug 25, 2023 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Past Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients
Munson Healthcare Grayling Past Accepting new patients

Locations

3781 Momentum Pl
Chicago, IL 60689

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Ste 260
Gaylord, MI 49735
Phone (989) 731-6405

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

809 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0530

Interoperability endpoints

  • Direct secure messaging: mspicer444094@direct.hfhs.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1114335106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 W MICHIGAN AVE",
            "address_2": "SUITE 300",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011900",
            "telephone_number": "517-768-0600",
            "fax_number": "517-768-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W MICHIGAN AVE",
            "address_2": "SUITE 300",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011900",
            "telephone_number": "517-768-0600",
            "fax_number": "517-768-0606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497381417",
            "country_code": "US",
            "telephone_number": "989-348-6610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 N Center Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351597",
            "country_code": "US",
            "telephone_number": "989-731-6405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPICER",
        "first_name": "MEGAN",
        "middle_name": "KYNA",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704248634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.