Megan McGovern Colborn, APRN, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

6799 Issued in MN

Practice address

407 E 3Rd St
Duluth, MN 55805-1950

Phone

(218) 786-4000

NPI assigned

Aug 18, 2019

Last updated

Aug 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1566086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566086400000",
    "number": "1255987954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 F ST UNIT 518",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805135",
            "telephone_number": "504-908-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051950",
            "telephone_number": "218-786-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBORN",
        "first_name": "MEGAN",
        "middle_name": "MCGOVERN",
        "name_prefix": "Mrs.",
        "credential": "APRN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-18",
        "last_updated": "2019-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "6799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Matthew Coenen, MD
• Peter James Coenen, MD
• Stacy A Coffin, MD
• Catherine Lucille Coffman
• Stacia Anne Cohen
• Rikki Taylor Coldagelli, APRN, CNP
• Jenna Coldwell, PA-C
• Laura Cole, LICSW
• Tylar Jo Cole
• Vanessa Dawn Cole

• Nurse Practitioner in Duluth, MN
• Providers in Duluth, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.