Megan Maccarthy, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3477-23 Issued in WI

Practice address

2200 Dickinson Rd Ste 17B
De Pere, WI 54115-4056

Phone

(920) 965-1234

Fax

(920) 965-1232

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Megan Hotchkiss Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wisconsin Institute of Plastic Surgery SCGroup PAC ID 3678574662, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FIBADD

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.

• Wisconsin Institute of Plastic Surgery SC

  • Plastic Surgery Physician
  • Appleton, WI
  • NPI 1487703880
  Medicare reassignment Care Compare group
• Thedacare, Incorporated

  • Family Medicine Physician
  • New London, WI
  • NPI 1376656959
  Medicare reassignment NPD
• Thedacare, Incorporated

  • Counselor
  • Menasha, WI
  • NPI 1306959515
  NPD
• Fox Valley Urological Associates SC

  • Urology Physician
  • Appleton, WI
  • NPI 1356601587
  NPD (past)
• Associated Foot Surgeons of Belleville, LTD.

  • Foot & Ankle Surgery Podiatrist
  • Belleville, IL
  • NPI 1538203377
  NPD (past)
• Associated Foot Surgeons of Southwest Illinois, LTD.

  • Foot & Ankle Surgery Podiatrist
  • Belleville, IL
  • NPI 1740653591
  NPD (past)
• New Dermatology Group LTD

  • Dermatology Physician
  • Iron Mountain, MI
  • NPI 1710321633
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1316979248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 DICKINSON RD",
            "address_2": "STE 17B",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541154056",
            "telephone_number": "920-965-1234",
            "fax_number": "920-965-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 DICKINSON RD STE 17B",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541154056",
            "telephone_number": "920-965-1234",
            "fax_number": "920-965-1232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 E Enterprise Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549137656",
            "country_code": "US",
            "telephone_number": "920-965-1234",
            "fax_number": "920-965-1232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3925 N Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549137863",
            "country_code": "US",
            "telephone_number": "920-454-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACCARTHY",
        "first_name": "MEGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "3477",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3477-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wips.ema.md",
            "affiliation": "N",
            "address_1": "1525 Park Pl Ste 200",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543041980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "HOTCHKISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physician Assistant in De Pere, WI
• Providers in De Pere, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.

Verify at the official NPI Registry.