Individual provider Active NPI

Megan Lawrence

  • Family Nurse Practitioner
  • Portage, IN
National Provider Identifier
1174032320
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008287A Issued in IN
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

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
F400433560OtherILMEDICARE PIN
300018842MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181011001948 IN Practitioner - Nurse Practitioner 1153689641 Reassigns benefits to 1 organization

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
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

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

LicenseStateTypeSpecialty
209016594ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc CurrentSince Oct 1, 2018 Accepting new patients
Mohammad Waseem Kagzi MD LTD PastSince Sep 24, 2017 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.