Active NPI
Megan Nickerson, NP
- Family Nurse Practitioner
- Newburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 349751
- Practice address
- 1 Corwin CT Ste 202
Newburgh, NY 12550-5176 - Phone
- (845) 670-4844
- NPI assigned
- Jan 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6428 | CT | |
| Family Nurse Practitioner | 363LF0000X | 349751 | NY | Primary |
Addresses
Primary practice location
1 Corwin CT Ste 202
Newburgh, NY 12550-5176
Mailing address
1 Corwin CT Ste 202
Newburgh, NY 12550-5176
Phone (860) 682-0565
Other practice location 1
1 Corwin Ct Ste 202
Newburgh, NY 12550-5176
Phone (845) 391-0338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5177 Route 9W
Suite 2
Newburgh, NY 12550-1492
Phone (845) 670-4844
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 349751 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robinson PA, LLC | Current | Accepting new patients | |
| Valley Dolor LLC | Current | Accepting new patients | |
| Absolute Outcomes, LLC | Past | Accepting new patients |
Locations
85 Barnes Rd
Ste 201
Wallingford, CT 06492
Phone (203) 626-5550
1 Corwin Ct
Ste 202
Newburgh, NY 12550
Phone (845) 391-0338
5177 Route 9W
Ste 2
Newburgh, NY 12550
Phone (845) 670-4844
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 and National Provider Directory roles.
-
- Pain Clinic/Center
- Newburgh, NY
- NPI 1487487039
-
- Interventional Pain Medicine Physician
- Wallingford, CT
- NPI 1275804189
-
- Internal Medicine Physician
- Monroe, CT
- NPI 1073746202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1275999047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CORWIN CT STE 202",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505176",
"telephone_number": "860-682-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CORWIN CT STE 202",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505176",
"telephone_number": "845-670-4844"
}
],
"practiceLocations": [
{
"address_1": "1 Corwin Ct Ste 202",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "NY",
"postal_code": "125505176",
"country_code": "US",
"telephone_number": "845-391-0338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICKERSON",
"first_name": "MEGAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-11",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "6428",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "349751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.