Individual provider Active NPI

Meagan Thielecke, APNP

  • Family Nurse Practitioner
  • Oak Creek, WI
National Provider Identifier
1427416858
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6800-33 Issued in WI
Practice address
8825 S. Howell Ave
Ste. 101
Oak Creek, WI 53154
Phone
(414) 497-8179
Fax
(414) 497-8174
NPI assigned
Jan 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6800-33 WI Primary

Addresses

Primary practice location

8825 S. Howell Ave
Ste. 101
Oak Creek, WI 53154

Mailing address

8825 S. Howell Ave
Ste. 101
Oak Creek, WI 53154
Phone (414) 497-8179

Other practice location 1

3727 W Wisconsin Ave
Milwaukee, WI 53208-3182
Phone (414) 291-2626

Other names 1

  • Meagan Barnes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20160329000000 WI Practitioner - Nurse Practitioner 7113224692 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Community Health Centers, Inc. Family CurrentSince Jul 11, 2017 Accepting new patients
JK Medical Corp PastSince Nov 6, 2022 Accepting new patients

Locations

1218 W Kilbourn Ave
Ste 124
Milwaukee, WI 53233
Phone (414) 291-2626

3522 W Lisbon Ave
Milwaukee, WI 53208
Phone (414) 935-8000

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": "1454112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1427416858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 S. HOWELL AVE",
            "address_2": "STE. 101",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "53154",
            "telephone_number": "414-497-8179",
            "fax_number": "414-497-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 S. HOWELL AVE",
            "address_2": "STE. 101",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "53154",
            "telephone_number": "414-497-8179",
            "fax_number": "414-497-8174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3727 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532083182",
            "country_code": "US",
            "telephone_number": "414-291-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIELECKE",
        "first_name": "MEAGAN",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-30",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6800-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGAN",
            "last_name": "BARNES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Creek, WI

Sources for this page

Verify at the official NPI Registry.