Individual provider Active NPI

Meggin Marie Blex, A.R.N.P.

  • Family Medicine Physician
  • Coffeyville, KS
National Provider Identifier
1467412940
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44138 Issued in KS
Practice address
1505 W 4TH St
Coffeyville, KS 67337-3307
Phone
(620) 251-2400
Fax
(620) 251-1619
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44138 KS Primary

Addresses

Primary practice location

1505 W 4TH St
Coffeyville, KS 67337-3307

Mailing address

1505 W 4TH St
Coffeyville, KS 67337-3307
Phone (620) 251-2400

Other identifiers 1

IdentifierTypeStateIssuer
200262920CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20040903000547 KS Practitioner - Nurse Practitioner 7618943325 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44138KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Kansas Health Care LLC CurrentSince Jan 1, 2007 Accepting new patients
Coffeyville Orthopaedics, PA Past Accepting new patients

Locations

1505 W 4th St
Coffeyville, KS 67337
Phone (620) 251-2400

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1467412940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373307",
            "telephone_number": "620-251-2400",
            "fax_number": "620-251-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373307",
            "telephone_number": "620-251-2400",
            "fax_number": "620-251-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEX",
        "first_name": "MEGGIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "44138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200262920C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coffeyville, KS

Sources for this page

Verify at the official NPI Registry.