Individual provider Active NPI

Megan Petty Gimber, FNP

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1114648268
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226550 Issued in LA
Practice address
2600 Tower Dr Ste 309
Monroe, LA 71201-5783
Phone
(318) 966-6575
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 226550 LA Primary

Addresses

Primary practice location

2600 Tower Dr Ste 309
Monroe, LA 71201-5783

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (318) 966-3772

Other practice location 1

510 S Washington St
Bastrop, LA 71220-5033
Phone (318) 556-3333

Other practice location 2

8952 Hwy 165 N.
Sterlington, LA 71280
Phone (318) 855-2222

Other practice location 3

1010 Davis Lake Road
Columbia, LA 71418
Phone (318) 649-6766

Other practice location 4

101 Fair Ave
Winnsboro, LA 71295-2117
Phone (318) 435-8020

Other practice location 5

2647 S Saint Elizabeth Blvd Ste 308
Gonzales, LA 70737-5020
Phone (225) 765-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20221103000230 LA Practitioner - Nurse Practitioner 7618344763 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jimmy R Coughran a Medical CorporationGroup PAC ID 2769430347, 6 clinicians
St Francis Medical Group LLCGroup PAC ID 5092970624, 176 clinicians
Our Lady of the Lake Physician Group LLCGroup PAC ID 4587849781, 637 clinicians

Practice addresses (Care Compare)

1010 Davis Lake Rd
Columbia, LA 71418-4231
Phone (318) 649-3766

2600 Tower Dr
Suite 309
Monroe, LA 71201-5783
Phone (318) 966-6575

2647 S Saint Elizabeth Blvd
Gonzales, LA 70737-5020

7777 Hennessy Blvd
Baton Rouge, LA 70808-4363

Hospital & facility affiliations

  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226550LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Medical Services of Louisiana, LLC Nurse Practitioner CurrentSince Sep 6, 2022 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Dec 29, 2024 Accepting new patients
St. Francis Urgent Care LLC CurrentSince Sep 26, 2024 Accepting new patients
Jimmy R Coughran a Medical Corporation CurrentSince Sep 6, 2022 Accepting new patients
St Francis Medical Group LLC CurrentSince Jun 5, 2023 Accepting new patients
Colvin Medical Corporation Current Accepting new patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner CurrentSince Dec 29, 2024 Accepting new patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Past Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients

Locations

1523 Texas Ave
Bastrop, LA 71220
Phone (318) 281-0078

510 S Washington St
Bastrop, LA 71220
Phone (318) 556-3333

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

1010 Davis Lake Rd
Columbia, LA 71418
Phone (318) 649-3766

2647 S Saint Elizabeth Blvd
Ste 308
Gonzales, LA 70737
Phone (225) 647-5017

517 Catalpa St
Monroe, LA 71201
Phone (318) 966-6500

500 Hart St
Monroe, LA 71201
Phone (318) 322-0790

2600 Tower Dr
Ste 309
Monroe, LA 71201
Phone (318) 966-6200

312 Grammont St
Ste 406
Monroe, LA 71201

2020 Tower Dr
Ste 100
Monroe, LA 71201
Phone (318) 966-6220

8952 Highway 165 N
Sterlington, LA 71280
Phone (318) 855-2222

8950 Highway 165 N
Ste 2
Sterlington, LA 71280
Phone (318) 855-2222

101 Fair Ave
Winnsboro, LA 71295
Phone (318) 435-8020

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1114648268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "318-966-3772",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TOWER DR STE 309",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015783",
            "telephone_number": "318-966-6575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "LA",
            "postal_code": "712205033",
            "country_code": "US",
            "telephone_number": "318-556-3333",
            "fax_number": "318-283-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8952 Hwy 165 N.",
            "address_purpose": "LOCATION",
            "city": "Sterlington",
            "state": "LA",
            "postal_code": "71280",
            "country_code": "US",
            "telephone_number": "318-855-2222",
            "fax_number": "318-665-1009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Davis Lake Road",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "LA",
            "postal_code": "71418",
            "country_code": "US",
            "telephone_number": "318-649-6766",
            "fax_number": "318-649-2353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Fair Ave",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "LA",
            "postal_code": "712952117",
            "country_code": "US",
            "telephone_number": "318-435-8020",
            "fax_number": "318-435-8020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2647 S Saint Elizabeth Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707375020",
            "country_code": "US",
            "telephone_number": "225-765-5500",
            "fax_number": "225-765-9419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIMBER",
        "first_name": "MEGAN",
        "middle_name": "PETTY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "226550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.