Individual provider Active NPI

Megan Marion Lyght, PA

  • Medical Physician Assistant
  • Middleton, WI
National Provider Identifier
1144758178
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4126 Issued in WI
Practice address
2365 Deming Way
Middleton, WI 53562-5512
Phone
(608) 824-6160
Fax
(608) 827-3040
NPI assigned
Jun 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4126 WI Primary

Addresses

Primary practice location

2365 Deming Way
Middleton, WI 53562-5512

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531
Phone (608) 829-5485

Other identifiers 1

IdentifierTypeStateIssuer
4126-23OtherWIWISCONSIN STATE PHYSICIAN ASSISTANT LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mstelse547082@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20170906001406 WI Practitioner - Physician Assistant 0446523880 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Generations Fertility Care IncGroup PAC ID 1951589019, 8 clinicians

Practice addresses (Care Compare)

2365 Deming Way
Middleton, WI 53562-5512
Phone (608) 824-6160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4126WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Watertown Physician Practices LLC Physician Assistant CurrentSince Sep 12, 2017 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jun 3, 2019 Accepting new patients
Watertown Physician Practices LLC CurrentSince Sep 12, 2017 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jun 3, 2019 Accepting new patients

Locations

1620 Mehta Ln
Fort Atkinson, WI 53538
Phone (920) 563-5544

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1144758178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531",
            "telephone_number": "608-829-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 DEMING WAY",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625512",
            "telephone_number": "608-824-6160",
            "fax_number": "608-827-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYGHT",
        "first_name": "MEGAN",
        "middle_name": "MARION",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "4126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN STATE PHYSICIAN ASSISTANT LICENSE",
            "identifier": "4126-23",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstelse547082@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "1620 Mehta Ln",
            "city": "Fort Atkinson",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.