Active NPI
Megan Lawrence
- Family Nurse Practitioner
- Portage, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71008287A
- Practice address
- 6375 US Highway 6 Ste B
Portage, IN 46368-5218 - Phone
- (219) 762-0400
- NPI assigned
- Sep 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209016594 | IL | |
| Family Nurse Practitioner | 363LF0000X | 71008287A | IN | Primary |
Addresses
Primary practice location
6375 US Highway 6 Ste B
Portage, IN 46368-5218
Mailing address
6375 US Highway 6
Ste B
Portage, IN 46368-5218
Phone (847) 605-0030
Other practice location 1
7035 North Ave
Oak Park, IL 60302-1015
Phone (708) 680-3800
Other practice location 2
804 E Woodfield Rd Ste 3000
Schaumburg, IL 60173-4776
Phone (847) 605-9500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400433560 | Other | IL | MEDICARE PIN |
| 300018842 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10215 Broadway
Crown Point, IN 46307-8001
1400 S Lake Park Ave
Hobart, IN 46342-6791
1500 S Lake Park Ave
Hobart, IN 46342-6638
6375 US Hwy 6
Portage, IN 46368-5218
9130 Columbia Ave
Munster, IN 46321-2932
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209016594 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Current | Accepting new patients | |
| Mohammad Waseem Kagzi MD LTD | Past | Accepting new patients | |
| Chicago Vascular Clinic LTD | Past | Accepting new patients |
Locations
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
6375 US Highway 6
Ste B
Portage, IN 46368
Phone (219) 762-0400
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mlawrence91416@ssdirect.comhs.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- St John, IN
- NPI 1457610487
-
- Interventional Cardiology Physician
- Schaumburg, IL
- NPI 1457788424
-
- Sleep Medicine (Internal Medicine) Physician
- Gurnee, IL
- NPI 1750568960
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1174032320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6375 US HIGHWAY 6",
"address_2": "STE B",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463685218",
"telephone_number": "847-605-0030",
"fax_number": "847-637-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6375 US HIGHWAY 6 STE B",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463685218",
"telephone_number": "219-762-0400"
}
],
"practiceLocations": [
{
"address_1": "7035 North Ave",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603021015",
"country_code": "US",
"telephone_number": "708-680-3800",
"fax_number": "708-777-4776",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "804 E Woodfield Rd Ste 3000",
"address_purpose": "LOCATION",
"city": "Schaumburg",
"state": "IL",
"postal_code": "601734776",
"country_code": "US",
"telephone_number": "847-605-9500",
"fax_number": "847-605-8700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAWRENCE",
"first_name": "MEGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-20",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209016594",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71008287A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "F400433560",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300018842",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.