Individual provider Active NPI

Megan Waltman

  • Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1417302928
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP016261 Issued in PA
Practice address
2112 Harrisburg Pike
Suite 312
Lancaster, PA 17601-2644
Phone
(717) 544-3022
Fax
(717) 544-3021
NPI assigned
May 3, 2016
Last updated
Jul 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP016261 PA Primary

Addresses

Primary practice location

2112 Harrisburg Pike
Suite 312
Lancaster, PA 17601-2644

Mailing address

2112 Harrisburg Pike
Suite 312
Lancaster, PA 17601-2644
Phone (717) 544-3022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160919000790 PA Practitioner - Nurse Practitioner 1658668728 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
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

317 Chestnut St
Quarryville, PA 17566-1184
Phone (717) 544-3555

554 N Duke St FL
3 Penn Med Lanc Gen Health Phys Comprehensi
Lancaster, PA 17602-2250
Phone (717) 554-4943

555 N Duke St
Lancaster, PA 17602-2250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016261PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Aug 28, 2016 Accepting new patients
Lanaster General Hospital CurrentSince Aug 28, 2016 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

2112 Harrisburg Pike
Ste 312
Lancaster, PA 17601
Phone (717) 544-3022

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1417302928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 HARRISBURG PIKE",
            "address_2": "SUITE 312",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3022",
            "fax_number": "717-544-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 HARRISBURG PIKE",
            "address_2": "SUITE 312",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3022",
            "fax_number": "717-544-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTMAN",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.