Individual provider Active NPI

Meghan Chellman Cunningham, APRN

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1487418109
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11030847 Issued in FL
Practice address
2917 Quail Rise CT
Tallahassee, FL 32309-6300
Phone
(850) 545-0385
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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 11030847 FL Primary

Addresses

Primary practice location

2917 Quail Rise CT
Tallahassee, FL 32309-6300

Mailing address

2917 Quail Rise CT
Tallahassee, FL 32309-6300
Phone (850) 545-0385

Other names 1

  • Meghan Marthea Chellman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250219003763 FL Practitioner - Nurse Practitioner 5890215917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stockwell Reisman Paulk and Taylor PAGroup PAC ID 8628054053, 16 clinicians

Practice addresses (Care Compare)

2400 Miccosukee Rd
Tallahassee, FL 32308-5314
Phone (850) 877-2105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11030847FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stockwell Reisman Paulk & Taylor PA CurrentSince Nov 30, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2400 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 205-8404

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1487418109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 QUAIL RISE CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096300",
            "telephone_number": "850-545-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 QUAIL RISE CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096300",
            "telephone_number": "850-545-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "MEGHAN",
        "middle_name": "CHELLMAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "CHELLMAN",
            "middle_name": "MARTHEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.