Individual provider Active NPI

Megan Michelle Davis, FNP

  • Family Nurse Practitioner
  • Hesperia, CA
National Provider Identifier
1437840352
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024314 Issued in CA
Practice address
11919 Hesperia Rd
Hesperia, CA 92345-2158
Phone
(760) 948-1454
NPI assigned
May 19, 2023
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 95024314 CA Primary

Addresses

Primary practice location

11919 Hesperia Rd
Hesperia, CA 92345-2158

Mailing address

12740 Hesperia Rd Ste B
Victorville, CA 92395-8306
Phone (760) 927-6722

Other practice location 1

12740 Hesperia Rd Ste A
Victorville, CA 92395-8306
Phone (760) 713-6969

Other names 1

  • Megan Michelle Rook Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230803003236 CA Practitioner - Nurse Practitioner 4385005552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

437 N Euclid Ave
Ontario, CA 91762-3456
Phone (909) 988-2555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95024314CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unicare Community Health Center Inc CurrentSince Jul 18, 2023 Accepting new patients
Unicare Community Health Center Inc Current Accepting new patients

Locations

437 N Euclid Ave
Ontario, CA 91762
Phone (909) 749-1835

Interoperability endpoints

  • Direct secure messaging: megan.davis.p1@direct.chsica.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1437840352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12740 HESPERIA RD STE B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958306",
            "telephone_number": "760-927-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 HESPERIA RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923452158",
            "telephone_number": "760-948-1454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12740 Hesperia Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923958306",
            "country_code": "US",
            "telephone_number": "760-713-6969",
            "fax_number": "760-245-9448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MEGAN",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "ROOK",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hesperia, CA

Sources for this page

Verify at the official NPI Registry.