Individual provider Active NPI

Megan Elizabeth Prue

  • Pediatrics Physician
  • Newport, VT
National Provider Identifier
1316697428
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
042.0018714 Issued in VT
Practice address
121 Medical Village Dr
Newport, VT 05855-9834
Phone
(802) 334-5929
NPI assigned
Mar 24, 2022
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 042.0018714 VT Primary

Addresses

Primary practice location

121 Medical Village Dr
Newport, VT 05855-9834

Mailing address

121 Medical Village Dr
Newport, VT 05855-9834
Phone (802) 334-5929

Other names 1

  • Megan Elizabeth Perry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220610000571 VT Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3173901758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042.0018714VTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Hospital & Health Center Inc Past Accepting new patients

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, 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": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1316697428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MEDICAL VILLAGE DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559834",
            "telephone_number": "802-334-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MEDICAL VILLAGE DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559834",
            "telephone_number": "802-334-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUE",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "042.0018714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "PERRY",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport, VT

Sources for this page

Verify at the official NPI Registry.