Megan Suzanne Niese, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.005423RX Issued in OH

Practice address

3825 Edwards Rd Ste 300
Cincinnati, OH 45209

Phone

(513) 221-1100

Fax

(513) 569-5297

NPI assigned

Mar 30, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Mayfield Clinic Inc

  • Neurological Surgery Physician
  • Cincinnati, OH
  • NPI 1013942101

  Physician Assistant

  Medicare reassignment NPD
• Mayfield Clinic Inc

  • Durable Medical Equipment & Medical Supplies
  • Miamisburg, OH
  • NPI 1780423467
  NPD
• Mission Medical Associates, Inc

  • Orthopaedic Surgery Physician
  • Hendersonville, NC
  • NPI 1649772583
  NPD
• Cincinnati Dermatology Center, LLC

  • Dermatology Physician
  • Cincinnati, OH
  • NPI 1942336110
  NPD (past)

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1467741470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643398",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452643398",
            "telephone_number": "513-221-1100",
            "fax_number": "513-569-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 EDWARDS RD STE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45209",
            "telephone_number": "513-221-1100",
            "fax_number": "513-569-5297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6130 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452477848",
            "country_code": "US",
            "telephone_number": "513-221-1100",
            "fax_number": "513-451-4514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIESE",
        "first_name": "MEGAN",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02838",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001002838",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.005423RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005423RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901037",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Dawn Nierman, ATC
• Mariah Bentley Nierman, DPT
• Debra A Nies, LSW
• Kendra K Niese, LSW
• Kirsten Marie Niese, PHARMD
• Courtney Niesen, DPT
• Gwendolyn Marie Niesen, MSW, LSW
• Meaggan Joanna Niesen, IMFT
• Dawn Niess, CNP
• Patricia Nieto

• Physician Assistant in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.