Individual provider Active NPI

Megan C Nagel, PA-C

  • Physician Assistant
  • Coffeyville, KS
National Provider Identifier
1134561012
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1501620 Issued in KS
Practice address
1110 W 8TH St
Coffeyville, KS 67337-4116
Phone
(620) 252-1798
Fax
(620) 688-6419
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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 1501620 KS Primary

Addresses

Primary practice location

1110 W 8TH St
Coffeyville, KS 67337-4116

Mailing address

3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873

Other names 1

  • Megan C Leveranz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20161221001851 SD Practitioner - Physician Assistant 1557596947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Sioux Falls 21 clinicians

Practice addresses (Care Compare)

1722 E 8TH St
Sioux Falls, SD 57103-1712
Phone (605) 367-8793

521 N Main Ave
Sioux Falls, SD 57104-5947
Phone (605) 367-8793

521 N Main Ave
Sioux Falls, SD 57104-5948

Hospital & facility affiliations

  • Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1501620KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City of Sioux Falls CurrentSince Dec 12, 2016 Accepting new patients
City of Sioux Falls Past Accepting new patients
City of Sioux Falls Past Accepting new patients

Locations

1722 E 8th St
Sioux Falls, SD 57103
Phone (605) 367-8793

410 N Valley View Rd
Sioux Falls, SD 57107
Phone (605) 367-8793

601 N Spring Ave
Sioux Falls, SD 57104
Phone (605) 321-4879

521 N Main Ave
Ste 100
Sioux Falls, SD 57104
Phone (605) 367-8029

Organizations & group practices 5

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 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1134561012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 N MICHIGAN ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622546",
            "telephone_number": "620-231-9873",
            "fax_number": "620-231-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W 8TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673374116",
            "telephone_number": "620-252-1798",
            "fax_number": "620-688-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGEL",
        "first_name": "MEGAN",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1501620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "LEVERANZ",
            "middle_name": "C",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coffeyville, KS

Sources for this page

Verify at the official NPI Registry.