Individual provider Active NPI

Megan Kunkel, APRN-CNP

  • Family Nurse Practitioner
  • London, KY
National Provider Identifier
1275379976
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4024230 Issued in KY
Practice address
154 Jordan Ave
London, KY 40744-6302
Phone
(606) 627-3718
NPI assigned
Jul 2, 2024
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4024230 KY Primary

Addresses

Primary practice location

154 Jordan Ave
London, KY 40744-6302

Mailing address

154 Jordan Ave
London, KY 40744-6302
Phone (606) 627-3718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20241217002241 KY Practitioner - Nurse Practitioner 2668909516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital, Inc.Group PAC ID 4486616141, shared by 9 NPIs, 60 clinicians

Practice addresses (Care Compare)

53 Queendale Ctr
Suite 2
Beverly, KY 40913-8621
Phone (606) 598-5135

56 Marie Langdon Dr
Manchester, KY 40962-6329
Phone (606) 599-4080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4024230KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc. Family CurrentSince Oct 21, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Oct 21, 2024 Accepting new patients
Memorial Hospital, Inc. Family Current Accepting new patients

Locations

1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

Interoperability endpoints

  • Direct secure messaging: mkunkel4012695@adventhealth.direct-ci.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1275379976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 JORDAN AVE",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407446302",
            "telephone_number": "606-627-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 JORDAN AVE",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407446302",
            "telephone_number": "606-627-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKEL",
        "first_name": "MEGAN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4024230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.