Megan R Fish, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

71002146 Issued in IN

Practice address

6911 E US Highway 36
Suite 1100
Avon, IN 46123-8926

Phone

(317) 272-7500

Fax

(317) 272-7515

NPI assigned

Mar 15, 2006

Last updated

Mar 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Megan Renee Mutz Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4
• Direct secure messaging: mfish228449@direct-prd.stelizabeth.com

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.

• Hendricks County Hospital

  dba Hendricks Regional Health Immediate Care

  • Urgent Care Clinic/Center
  • Avon, IN
  • NPI 1063411551
  NPD (past)
• Hendricks County Hospital

  dba Stafford Pointe Family Physicians

  • Family Medicine Physician
  • Plainfield, IN
  • NPI 1104927557
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Major Multispecialty Associates

  dba MHP Behavioral Health

  • Internal Medicine Physician
  • Shelbyville, IN
  • NPI 1437398492
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1255300018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 E US HIGHWAY 36",
            "address_2": "SUITE 1100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238926",
            "telephone_number": "317-272-7500",
            "fax_number": "317-272-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 E US HIGHWAY 36",
            "address_2": "SUITE 1100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238926",
            "telephone_number": "317-272-7500",
            "fax_number": "317-272-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "MEGAN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71002146A",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71002146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200821500",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfish228449@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "6911 E US Highway 36",
            "address_2": "Suite 1100",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461238926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "MUTZ",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "WHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Cameron Fields, PA
• Elizabeth M Fink, DPT, OCS
• Rebecca Anne Finlay, M.A. CCC-SLP
• First Impressions Optometric Associates, LLC
• Joni Ann Fiscus, RD, CDE, CSG, CD
• Hailey Jane Fisher
• Rachael Cynthia May Fisher, LCSW
• Jill M Fitzpatrick, NP
• Eric James Fleck, DO
• Kaitlyn Fletcher

• Women's Health Nurse Practitioner in Avon, IN
• Providers in Avon, IN by specialty
• Women's Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.