Active NPI
Meghan Hagan, FNP
- Family Nurse Practitioner
- Olympia Fields, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.013541
- Practice address
- 4001 Vollmer Rd
Olympia Fields, IL 60461-3168 - Phone
- (708) 481-8883
- NPI assigned
- Nov 19, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.013541 | IL | Primary |
Addresses
Primary practice location
4001 Vollmer Rd
Olympia Fields, IL 60461-3168
Mailing address
4001 Vollmer Rd
Olympia Fields, IL 60461-3168
Phone (708) 481-8883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.013541 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Premise Health of Illinois Medical PC | Current | Accepting new patients | |
| Premise Health of Illinois Medical PC | Current | Accepting new patients | |
| Premise Health of Illinois Medical PC | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Banyan Treatment Center Il, LLC | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
16906 Collection Ctr Dr
Chicago, IL 60693
29373 Network Pl
Chicago, IL 60673
6150 Joliet Rd
Countryside, IL 60525
Phone (708) 485-2273
4001 Vollmer Rd
Olympia Flds, IL 60461
Phone (708) 481-8883
5500 Maryland Way
Ste 400
Brentwood, TN 37027
Phone (844) 404-7557
Interoperability endpoints
- meghan.hagan.1@14940.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Primary Care Clinic/Center
- Mount Vernon, IL
- NPI 1427366921
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Multi-Specialty Clinic/Center
- Countryside, IL
- NPI 1083006001
-
- Multi-Specialty Clinic/Center
- Utica, IL
- NPI 1295518868
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Substance Abuse Rehabilitation Facility
- Lisle, IL
- NPI 1366811820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1326412941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 VOLLMER RD",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604613168",
"telephone_number": "708-481-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 VOLLMER RD",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604613168",
"telephone_number": "708-481-8883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAN",
"first_name": "MEGHAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-19",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.013541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.