Individual provider Active NPI

Megan Landeck, NP

  • Family Nurse Practitioner
  • Point Reyes Station, CA
National Provider Identifier
1487199535
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95005563 Issued in CA
Practice address
11150 State Route 1
Point Reyes Station, CA 94956
Phone
(415) 663-1082
Fax
(415) 663-9474
NPI assigned
Dec 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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 95005563 CA Primary

Addresses

Primary practice location

11150 State Route 1
Point Reyes Station, CA 94956

Mailing address

PO Box 240
Point Reyes Station, CA 94956-0240
Phone (415) 663-1082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20171110001041 CA Practitioner - Nurse Practitioner 7113283995 Reassigns benefits to 1 organization
I20200310001550 MA Practitioner - Nurse Practitioner 7113283995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Health Inc.Group PAC ID 3779562376, 10 clinicians

Practice addresses (Care Compare)

245 Vineyard Haven Rd
Edgartown, MA 02539
Phone 5086275797111

Hospital & facility affiliations

  • Martha'S Vineyard Hospital Inc Hospital, Oak Bluffs, MA, CCN 221300
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95005563CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imperatives Inc. CurrentSince Oct 7, 2022 Accepting new patients
Colin Hamblin, a Professional Medical Corporation CurrentSince Oct 10, 2017 Accepting new patients
Health Imperatives Inc. Current Accepting new patients
Health Imperatives Inc. CurrentSince Oct 7, 2022 Accepting new patients

Locations

11150 Highway 1
Pt Reyes Sta, CA 94956
Phone (415) 663-1082

942 W Chestnut St
#46
Brockton, MA 02301
Phone (508) 583-3005

111 Torrey St
Brockton, MA 02301
Phone (508) 584-5190

Interoperability endpoints

  • Direct secure messaging: meganlandeck@chapmc.allscriptsdirect.net
  • Direct secure messaging: mlandeck47163@direct.ctc.masshiway.net

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1487199535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "949560240",
            "telephone_number": "415-663-1082",
            "fax_number": "415-663-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 STATE ROUTE 1",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "94956",
            "telephone_number": "415-663-1082",
            "fax_number": "415-663-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDECK",
        "first_name": "MEGAN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Reyes Station, CA

Sources for this page

Verify at the official NPI Registry.