Individual provider Active NPI

Meagan Haney Fazekas

  • Acute Care Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1285215392
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-148540 Issued in AL
Practice address
122 Saccapatoy Dr
Montgomery, AL 36117-4122
Phone
(334) 868-1017
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-148540 AL Primary

Addresses

Primary practice location

122 Saccapatoy Dr
Montgomery, AL 36117-4122

Mailing address

122 Saccapatoy Dr
Montgomery, AL 36117-4122
Phone (334) 868-1017

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherALNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhf92@uab.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20231204000260 AL Practitioner - Nurse Practitioner 3173971033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Pulmonary Consultants, PAGroup PAC ID 9739102161, 12 clinicians

Practice addresses (Care Compare)

1440 Narrow Lane Pkwy
Montgomery, AL 36111-2654
Phone (334) 281-4140

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-148540ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Pulmonary Consultants, P.a. CurrentSince Oct 28, 2023 Accepting new patients

Locations

7080 Sydney Curv
Montgomery, AL 36117
Phone (334) 215-0711

1440 Narrow Lane Pkwy
Montgomery, AL 36111
Phone (334) 281-4140

1023 Medical Center Pkwy
Ste 407
Selma, AL 36701
Phone (334) 281-4140

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1285215392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SACCAPATOY DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174122",
            "telephone_number": "334-868-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SACCAPATOY DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174122",
            "telephone_number": "334-868-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZEKAS",
        "first_name": "MEAGAN",
        "middle_name": "HANEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-148540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhf92@uab.edu",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "122 Saccapatoy Dr",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361174122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.