Individual provider Active NPI

Megan Eileen Fickes, WHNP

  • Women's Health Nurse Practitioner
  • Manchester, NH
National Provider Identifier
1366167728
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
08996023 Issued in NH
Practice address
24 Pennacook St
Manchester, NH 03104-3554
Phone
(603) 669-7321
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 08996023 NH Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 2346997 MA

Addresses

Primary practice location

24 Pennacook St
Manchester, NH 03104-3554

Mailing address

24 Pennacook St
Manchester, NH 03104-3554
Phone (203) 414-9690

Other practice location 1

10 Carematrix Dr
Dedham, MA 02026-6149
Phone (781) 647-6700

Other identifiers 1

IdentifierTypeStateIssuer
3139093MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20230213000424 NH Practitioner - Nurse Practitioner 8921470303 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2346997MAMDPsychiatric/Mental Health Registered Nurse
08996023NHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Northern New England, Inc CurrentSince Jan 5, 2023 Accepting new patients
Planned Parenthood of Northern New England PastSince Jan 1, 2023 Accepting new patients

Locations

4 Birch St
Derry, NH 03038
Phone (603) 434-1354

108 High St
Exeter, NH 03833
Phone (603) 772-9315

8 Middle St
Keene, NH 03431
Phone (603) 352-6898

24 Pennacook St
Manchester, NH 03104
Phone (603) 669-7321

784 Hercules Dr
Ste 110
Colchester, VT 05446
Phone (802) 448-9784

Organizations & group practices 2

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": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1366167728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PENNACOOK ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043554",
            "telephone_number": "203-414-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PENNACOOK ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043554",
            "telephone_number": "603-669-7321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Carematrix Dr",
            "address_purpose": "LOCATION",
            "city": "Dedham",
            "state": "MA",
            "postal_code": "020266149",
            "country_code": "US",
            "telephone_number": "781-647-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FICKES",
        "first_name": "MEGAN",
        "middle_name": "EILEEN",
        "name_prefix": "Miss",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NH",
            "license": "08996023",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2346997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3139093",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.