Individual provider Active NPI

Megan Wajer, APRN, NP-C

  • Family Nurse Practitioner
  • North Mankato, MN
National Provider Identifier
1356886576
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP 5054 Issued in MN
Practice address
1695 Lor Ray Dr
North Mankato, MN 56003-2804
Phone
(507) 594-5700
NPI assigned
Dec 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R 193409 4 MN
Family Nurse Practitioner 363LF0000X CNP 5054 MN Primary

Addresses

Primary practice location

1695 Lor Ray Dr
North Mankato, MN 56003-2804

Mailing address

1695 Lor Ray Dr
North Mankato, MN 56003-2804

Other names 1

  • Megan Caven Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20170330000102 MN Practitioner - Nurse Practitioner 7012292238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mankato Clinic LTDGroup PAC ID 5597677955, 243 clinicians

Practice addresses (Care Compare)

1230 Main St E
PO Box 8674
Mankato, MN 56002-8674
Phone (507) 625-1811

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R 193409 4MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mankato Clinic LTD CurrentSince Nov 1, 2022 Accepting new patients

Locations

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

1695 Lor Ray Dr
North Mankato, MN 56003
Phone (507) 385-5700

Interoperability endpoints

  • Direct secure messaging: meganwajer@mklt.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1356886576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 LOR RAY DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560032804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 LOR RAY DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560032804",
            "telephone_number": "507-594-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAJER",
        "first_name": "MEGAN",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-24",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 193409 4",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP 5054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "CAVEN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Mankato, MN

Sources for this page

Verify at the official NPI Registry.