Individual provider Active NPI

Megan Faye Tanner, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1407517360
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017229 Issued in KY
Practice address
3999 Dutchmans LN Ste 7B
Louisville, KY 40207-4742
Phone
(502) 896-4711
Fax
(502) 896-4791
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3017229 KY Primary
Nurse Practitioner 363L00000X 3017229 KY

Addresses

Primary practice location

3999 Dutchmans LN Ste 7B
Louisville, KY 40207-4742

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other names 1

  • Megan Faye Potts Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mparsley79049@direct.nortonhealthcare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220310001758 KY Practitioner - Nurse Practitioner 8325433204 Reassigns benefits to 2 organizations
I20250227000556 KY Practitioner - Nurse Practitioner 8325433204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Optimum Wound Care LLCGroup PAC ID 6305218462, 2 clinicians

Practice addresses (Care Compare)

9115 Leesgate Rd
Suite B
Louisville, KY 40222-4977

9115 Leesgate Rd
Suite C
Louisville, KY 40222-6017
Phone (502) 999-2308

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3017229KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Jun 1, 2022 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 27, 2022 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Optimum Wound Care LLC CurrentSince Feb 6, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 27, 2022 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

4423 Bardstown Rd
Louisville, KY 40218
Phone (502) 495-2400

9115 Leesgate Rd
Ste C
Louisville, KY 40222
Phone (502) 719-0782

3999 Dutchmans Ln
Ste 7B
Louisville, KY 40207
Phone (502) 896-4711

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Interoperability endpoints

  • Direct secure messaging: mparsley79049@direct.nortonhealthcare.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1407517360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LN STE 7B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074742",
            "telephone_number": "502-896-4711",
            "fax_number": "502-896-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "MEGAN",
        "middle_name": "FAYE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017229",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3017229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mparsley79049@direct.nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3999 Dutchmans Ln Ste 7B",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "POTTS",
            "middle_name": "FAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.