Individual provider Active NPI

Megan Zino

  • Family Nurse Practitioner
  • Richboro, PA
National Provider Identifier
1144819186
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023025 Issued in PA
Practice address
853 2ND Street Pike Ste A1
Richboro, PA 18954-1083
Phone
(215) 485-5713
Fax
(215) 485-5419
NPI assigned
Jan 14, 2021
Last updated
Mar 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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 SP023025 PA Primary

Addresses

Primary practice location

853 2ND Street Pike Ste A1
Richboro, PA 18954-1083

Mailing address

853 2ND Street Pike Ste A1
Richboro, PA 18954-1083
Phone (215) 485-5713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210125001048 PA Practitioner - Nurse Practitioner 0840604344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Jefferson Medical College of Thomas Jefferson University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Certified Dermatology PCGroup PAC ID 0345569992, 5 clinicians

Practice addresses (Care Compare)

853 2ND St Pike
Suite A1
Richboro, PA 18954-1083
Phone (215) 485-5713

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP023025PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Certified Dermatology PC CurrentSince Jan 14, 2021 Accepting new patients

Locations

853 2nd Street Pike
Ste A1
Richboro, PA 18954
Phone (215) 364-1264

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1144819186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 2ND STREET PIKE STE A1",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541083",
            "telephone_number": "215-485-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 2ND STREET PIKE STE A1",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541083",
            "telephone_number": "215-485-5713",
            "fax_number": "215-485-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINO",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richboro, PA

Sources for this page

Verify at the official NPI Registry.