Individual provider Active NPI

Megan Mary Bishop, NP

  • Acute Care Nurse Practitioner
  • Colton, CA
National Provider Identifier
1265997738
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN232005 Issued in GA
Practice address
1550 E Washington St Ste 101
Colton, CA 92324-4624
Phone
(800) 321-1593
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN232005 GA
Acute Care Nurse Practitioner 363LA2100X RN232005 GA Primary

Addresses

Primary practice location

1550 E Washington St Ste 101
Colton, CA 92324-4624

Mailing address

1499 Allendale Dr
Riverside, CA 92507-8472
Phone (404) 345-7235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA2 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
I20200311002504 CO Practitioner - Nurse Practitioner 5294163911 Reassigns benefits to 1 organization
I20250805001417 CA Practitioner - Nurse Practitioner 5294163911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Wound Solutions IncGroup PAC ID 0446758858, 26 clinicians

Practice addresses (Care Compare)

44045 Margarita Rd
Suite 101
Temecula, CA 92592-2729

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN232005GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Pagosa Medical Group LLC CurrentSince Jan 6, 2020 Accepting new patients
Innovative Wound Solutions Inc CurrentSince Oct 13, 2025 Accepting new patients
Ardent Nexus, Inc Past Accepting new patients

Locations

44045 Margarita Rd
Ste 101
Temecula, CA 92592
Phone (951) 302-1122

27B Talisman Dr
Unit 3
Pagosa Springs, CO 81147
Phone (970) 372-0456

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, 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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1265997738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 ALLENDALE DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925078472",
            "telephone_number": "404-345-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E WASHINGTON ST STE 101",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244624",
            "telephone_number": "800-321-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "MEGAN",
        "middle_name": "MARY",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN232005",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN232005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.