Individual provider Active NPI

Megan Cecile Johnson

  • Women's Health Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1285288274
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
2003010322 Issued in MO
Practice address
7924 NE 53Rd St
Kansas City, MO 64119-4149
Phone
(816) 438-1479
NPI assigned
Jul 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 80050 KS
Women's Health Nurse Practitioner 363LW0102X 2003010322 MO Primary

Addresses

Primary practice location

7924 NE 53Rd St
Kansas City, MO 64119-4149

Mailing address

7924 NE 53Rd St
Kansas City, MO 64119-4149
Phone (816) 438-1479

Other practice location 1

310 E Walnut St
Garden City, KS 67846-5572
Phone (620) 275-9752

Other identifiers 1

IdentifierTypeStateIssuer
MHA422658283459OtherMOPRIVATE INSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mjoh919@regiscollege.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20221216000175 KS Practitioner - Nurse Practitioner 3274902176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonspirit Kansas IncGroup PAC ID 4789595844, 62 clinicians

Practice addresses (Care Compare)

100 W Ross Blvd
Suite 1B
Dodge City, KS 67801-7217
Phone (620) 371-5576

Hospital & facility affiliations

  • St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003010322MOMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonspirit Kansas, Inc. CurrentSince Jan 9, 2023 Accepting new patients
Commonspirit Kansas, Inc. Current Accepting new patients
St Catherine Hospital CurrentSince Jan 9, 2023 Accepting new patients
St. Catherine Hospital Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

100 W Ross Blvd
Ste 1B
Dodge City, KS 67801
Phone (620) 371-5576

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

310 E Walnut St
Ste 201
Garden City, KS 67846
Phone (620) 272-2700

310 E Walnut St
Garden City, KS 67846
Phone (620) 275-9752

Organizations & group practices 4

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 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": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1285288274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7924 NE 53RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641194149",
            "telephone_number": "816-438-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7924 NE 53RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641194149",
            "telephone_number": "816-438-1479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465572",
            "country_code": "US",
            "telephone_number": "620-275-9752",
            "fax_number": "620-275-4306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MEGAN",
        "middle_name": "CECILE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KS",
            "license": "80050",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "2003010322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "MHA422658283459",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjoh919@regiscollege.edu",
            "affiliation": "N",
            "endpointDescription": "school email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "school email on private computer",
            "address_1": "7924 NE 53rd St",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641194149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.