Individual provider Active NPI

Meagan Peterson, FNP

  • Family Nurse Practitioner
  • Covington, LA
National Provider Identifier
1447864491
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904390 Issued in MS
Practice address
648 Crestwood Blvd
Covington, LA 70433-8261
Phone
(985) 805-6721
NPI assigned
Sep 6, 2020
Last updated
May 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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 904390 MS Primary

Addresses

Primary practice location

648 Crestwood Blvd
Covington, LA 70433-8261

Mailing address

648 Crestwood Blvd
Covington, LA 70433-8261
Phone (985) 805-6721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210811004513 LA Practitioner - Nurse Practitioner 7012311129 Reassigns benefits to 1 organization
I20211018000104 MS Practitioner - Nurse Practitioner 7012311129 Reassigns benefits to 1 organization
I20250128001966 TX Practitioner - Nurse Practitioner 7012311129

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuro Care of Louisiana, LLCGroup PAC ID 0143514083, 7 clinicians

Practice addresses (Care Compare)

648 Crestwood Blvd
Covington, LA 70433-8261
Phone (985) 805-2555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904390MSMDFamily Nurse Practitioner
903659MSMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Care of Louisiana, LLC CurrentSince Sep 1, 2021 Accepting new patients
Neurocare of the South, PLLC CurrentSince Feb 1, 2025 Accepting new patients
SDL Medical Services, LLC PastSince Apr 15, 2023 Accepting new patients

Locations

5001 Highway 190 East Service Rd
Ste D6
Covington, LA 70433
Phone (504) 444-7786

648 Crestwood Blvd
Covington, LA 70433
Phone (985) 288-1600

106 Smart Pl
Slidell, LA 70458
Phone (504) 486-5353

202C Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 463-8939

6766 U S Highway 98
Hattiesburg, MS 39402
Phone (601) 255-0010

134 Marion Ave
McComb, MS 39648
Phone (601) 557-2555

2965 Harrison Ave
Ste 217
Beaumont, TX 77702
Phone (409) 203-3055

427 W 20th St
Ste 203
Houston, TX 77008
Phone (713) 863-0114

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBABBD

Organizations & group practices 3

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 4

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": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1447864491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 CRESTWOOD BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338261",
            "telephone_number": "985-805-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 CRESTWOOD BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338261",
            "telephone_number": "985-805-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MEAGAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-06",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.