Individual provider Active NPI

Megan Bradshaw

  • Family Nurse Practitioner
  • Greenfield, IN
National Provider Identifier
1376901405
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006557A Issued in IN
Practice address
1 Memorial Square
Suite 305
Greenfield, IN 46140-2835
Phone
(317) 468-6274
Fax
(317) 468-6275
NPI assigned
Feb 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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 28164116A IN
Family Nurse Practitioner 363LF0000X 71006557A IN Primary

Addresses

Primary practice location

1 Memorial Square
Suite 305
Greenfield, IN 46140-2835

Mailing address

901 Gondola Run
Greenfield, IN 46140-7253
Phone (317) 695-2456

Other names 1

  • Megan Maxfield Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160928000305 IN Practitioner - Nurse Practitioner 2769779289 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
Hancock Physician Network LLC 139 clinicians

Practice addresses (Care Compare)

1 Memorial SQ
Suite 2200
Greenfield, IN 46140-1378
Phone (317) 462-6662

6189 W John L Modglin Dr
Suite 201
Greenfield, IN 46140-9363
Phone (317) 866-7320

801 N State
Greenfield, IN 46140-1270

801 N State St
Greenfield, IN 46140-1270

801 N State St 3
Central Indiana Amg Specialty Hospital
Greenfield, IN 46140-1270
Phone (317) 477-6789

Hospital & facility affiliations

  • Hancock Regional Hospital Hospital, Greenfield, IN, CCN 150037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28164116AINMDRegistered Nurse
71006557AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Physician Network, LLC Registered Nurse CurrentSince Sep 16, 2016 Accepting new patients
Major Hospital Past Accepting new patients

Locations

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

1 Memorial Sq
Ste 305
Greenfield, IN 46140
Phone (317) 462-6662

1 Memorial Sq
Ste 50
Greenfield, IN 46140
Phone (317) 468-6257

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.

Hospital & facility affiliations 1

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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1376901405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 GONDOLA RUN",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461407253",
            "telephone_number": "317-695-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL SQUARE",
            "address_2": "SUITE 305",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402835",
            "telephone_number": "317-468-6274",
            "fax_number": "317-468-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "MEGAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28164116A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006557A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "MAXFIELD",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.