Megan Lauren Mahoney, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15221 Issued in MN

Practice address

2480 White Bear Ave N Ste 104
Maplewood, MN 55109-4568

Phone

(612) 444-3247

Fax

(612) 888-9247

NPI assigned

Aug 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy and Asthma Center of Minnesota PLLCGroup PAC ID 1456575695, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Allergy and Asthma Center of Minnesota PLLC

  • Allergy & Immunology Physician
  • Maplewood, MN
  • NPI 1770900797
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1366274383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 WHITE BEAR AVE N STE 104",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094568",
            "telephone_number": "612-444-3247",
            "fax_number": "612-888-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 WHITE BEAR AVE N STE 104",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094568",
            "telephone_number": "612-444-3247",
            "fax_number": "612-888-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "MEGAN",
        "middle_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Landon Mackner, OD
• Seema Maddali, MD
• Kayla Jean Madison
• Patricia Jean Madison, OTRL
• Zohreh Mahdavi, M.D.
• Maize LLC
• Joseph Lee Malhoit III, LPCC
• Mary Manelli, APRN, CNP
• Bernard Michael Manthei, DDS
• Maple Grove Children'S Surgery Center, LLC

• Physician Assistant in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.