Megan Colleen Nuckols, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95028759 Issued in CA

Practice address

11008 Quinnault Rd
Apple Valley, CA 92308-9405

Phone

(951) 795-5653

NPI assigned

Jan 22, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Prepostplus - Germantown PLLC

  • General Practice Physician
  • Germantown, TN
  • NPI 1497634380
  Medicare reassignment
• Prepostplus Midtown

  • General Practice Physician
  • Nashville, TN
  • NPI 1922979897
  Medicare reassignment
• Prepostplus Tennessee PLLC

  • General Practice Physician
  • Clarksville, TN
  • NPI 1376499624
  Medicare reassignment
• Express Walk-in Clinic

  • Urgent Care Clinic/Center
  • Apple Valley, CA
  • NPI 1417726852
  NPD
• Ming-Wei Wu, Inc

  dba Professional Wound Specialists

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1699975144
  NPD

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1457112880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11008 QUINNAULT RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923089405",
            "telephone_number": "951-795-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11008 QUINNAULT RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923089405",
            "telephone_number": "951-795-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCKOLS",
        "first_name": "MEGAN",
        "middle_name": "COLLEEN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95028759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lauren Norton
• Michael Joseph Norton
• Novel Behavior Therapy LLC
• Shannon R Novoa
• Crystal Noyes
• Jessica Nunes, OTR/L
• Rizwan D Nurani, MD
• Debra Nystrom, MFT
• Hallie O'Brien, PPS
• Oak Fence Senior Living LLC (Apple Valley Congregate Living Health Facility)

• Nurse Practitioner in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.