Individual provider Active NPI

Megan Beth Mesaros, CNM

  • Psychiatric/Mental Health Nurse Practitioner
  • Altoona, PA
National Provider Identifier
1265697023
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP028342 Issued in PA
Practice address
620 Howard Ave
Altoona, PA 16601-4804
Phone
(814) 942-5000
Fax
(814) 942-9500
NPI assigned
Jul 22, 2008
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP028342 PA Primary
Advanced Practice Midwife 367A00000X MW010182 PA

Addresses

Primary practice location

620 Howard Ave
Altoona, PA 16601-4804

Mailing address

63 Pitt St
Sharon, PA 16146-2102
Phone (724) 804-5195

Other practice location 1

1111 Franklin St
Johnstown, PA 15905-4330
Phone (814) 534-9392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080924000454 PA Practitioner - Certified Nurse Midwife (CNM) 8628145257 Reassigns benefits to 2 organizations
I20240226003427 PA Practitioner - Nurse Practitioner 8628145257 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
MW010182PAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 1, 2014 Accepting new patients
Primary Health Network CurrentSince Mar 1, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 1, 2014 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Current Accepting new patients
Primary Health Network CurrentSince Mar 1, 2024 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince May 12, 2018 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince May 12, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

620 Howard Ave
Fl 4
Altoona, PA 16601
Phone (814) 889-2011

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1111 Franklin St
Ste 210
Johnstown, PA 15905
Phone (814) 534-5760

1111 Franklin St
Ste 300
Johnstown, PA 15905
Phone (814) 534-9203

1450 Scalp Ave
Ste 303
Johnstown, PA 15904
Phone (814) 262-7470

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: meganmesaros@primaryhn.medalliesdirect.net
  • Direct secure messaging: mpercinsky8282@direct.conemaugh.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1265697023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PITT ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462102",
            "telephone_number": "724-804-5195",
            "fax_number": "724-804-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014804",
            "telephone_number": "814-942-5000",
            "fax_number": "814-942-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159054330",
            "country_code": "US",
            "telephone_number": "814-534-9392",
            "fax_number": "814-534-3284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESAROS",
        "first_name": "MEGAN",
        "middle_name": "BETH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP028342",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.