Megan Kathleen Niemiec, MSN, FNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

209.018853 Issued in IL

Practice address

1870 Silver Cross Blvd Ste 250
New Lenox, IL 60451-8647

Phone

(815) 463-8989

Fax

(815) 463-8948

NPI assigned

Feb 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.8 of 100Reported as group

Promoting interoperability

88

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mniemiec@directaddress.net

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.

• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984
  Medicare reassignment Care Compare group NPD
• Academic Dermatology,PC

  • Specialist
  • Edina, MN
  • NPI 1164662730
  NPD (past)

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

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        {
            "address_1": "2400 S Finley Rd",
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            "address_1": "1124 Essington Rd",
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        {
            "address_1": "20646 Abbey Woods Ct N Ste 104",
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        },
        {
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            "fax_number": "815-463-8930",
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        {
            "address_1": "1947 N Bissell St Apt 2R",
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            "address_1": "2845 N. Sheridan Road",
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    ],
    "basic": {
        "last_name": "NIEMIEC",
        "first_name": "MEGAN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
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        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.018853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245797364",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Lenox School District 122
• NGX Illinois SC
• Nicole Graves, DDS, PC
• Hollie Ann Nieland, FNP-BC
• James T Niemeyer, DO
• Anna Nikitscher, COTA/L
• Amanda L Noel
• Gabriel Noguez, PT, CSST, CKTP
• Northern Illinois Imaging Services LTD
• Jennifer Marie Nyder, DT

• Primary Care Nurse Practitioner in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Primary Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.

Verify at the official NPI Registry.