NPIMap

Individual provider Active NPI

Megan McMillin, PA

  • Physician Assistant
  • Waverly, IA
National Provider Identifier
1356359707
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001893 Issued in IA
Practice address
100 Wartburg Blvd
Suite 1392 Wartburg / Waverly Sports & Wellness Center
Waverly, IA 50677
Phone
(319) 352-8436
Fax
(319) 352-8566
NPI assigned
Aug 3, 2006
Last updated
Aug 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1179-023 WI
Physician Assistant 363A00000X 001893 IA Primary

Addresses

Primary practice location

100 Wartburg Blvd
Suite 1392 Wartburg / Waverly Sports & Wellness Center
Waverly, IA 50677

Mailing address

100 Wartburg Blvd
Suite 1392 Wartburg / Waverly Sports & Wellness Center
Waverly, IA 50677
Phone (319) 352-8436

Other identifiers 1

IdentifierTypeStateIssuer
41959600MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090311000431 IA Practitioner - Physician Assistant 8123088218 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waverly Health CenterGroup PAC ID 8820996762, 44 clinicians

Practice addresses (Care Compare)

312 9TH St SW
Waverly, IA 50677-2929
Phone (319) 352-4120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1179-023WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Waverly Health Center CurrentSince Dec 26, 2015 Accepting new patients
Waverly Health Center Physician Assistant CurrentSince Dec 26, 2015 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Waverly Health Center Past Accepting new patients

Locations

202 Wildcat Way
Janesville, IA 50647
Phone (319) 987-2361

80 Amherst Blvd
Ste 400
Nashua, IA 50658
Phone (641) 435-4133

1001 Mason Way
Shell Rock, IA 50670
Phone (319) 885-6530

100 Wartburg Blvd
Ste 1392
Waverly, IA 50677
Phone (319) 346-9783

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

312 9th St SW
Ste 2300
Waverly, IA 50677
Phone (319) 483-1390

312 9th St SW
Ste 3300
Waverly, IA 50677
Phone (319) 483-1400

Interoperability endpoints

  • Direct secure messaging: megan.mcmillin@waverly.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1356359707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WARTBURG BLVD",
            "address_2": "SUITE 1392 WARTBURG / WAVERLY SPORTS & WELLNESS CENTER",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "50677",
            "telephone_number": "319-352-8436",
            "fax_number": "319-352-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WARTBURG BLVD",
            "address_2": "SUITE 1392 WARTBURG / WAVERLY SPORTS & WELLNESS CENTER",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "50677",
            "telephone_number": "319-352-8436",
            "fax_number": "319-352-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLIN",
        "first_name": "MEGAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1179-023",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41959600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

Verify at the official NPI Registry.