Individual provider Active NPI

Megan S Burgess, FNP-C

  • Family Nurse Practitioner
  • Sandusky, MI
National Provider Identifier
1508336439
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704259207 Issued in MI
Practice address
75 Dawson St
Sandusky, MI 48471-3305
Phone
(810) 648-2232
NPI assigned
Dec 4, 2018
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704259207NSA18113 MI
Family Nurse Practitioner 363LF0000X 4704259207 MI Primary

Addresses

Primary practice location

75 Dawson St
Sandusky, MI 48471-3305

Mailing address

75 Dawson St
Sandusky, MI 48471-3305
Phone (810) 648-2232

Other names 1

  • Megan S Miller Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address megan.burgess@mhs.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190411000747 MI Practitioner - Nurse Practitioner 9133469695 Reassigns benefits to 3 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
McKenzie Memorial HospitalGroup PAC ID 6406755289, 31 clinicians
Sciometrix LLCGroup PAC ID 7618367087, 58 clinicians

Practice addresses (Care Compare)

120 N Delaware St
Sandusky, MI 48471-1009
Phone (810) 648-6162

306 S Washington Ave
Suite 600
Royal Oak, MI 48067-3837
Phone (860) 335-5064

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704259207NSA18113MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie Memorial Hospital CurrentSince Feb 10, 2019 Accepting new patients
Sciometrix Inc CurrentSince Nov 1, 2024 Accepting new patients
McKenzie Memorial Hospital Current Accepting new patients
Sciometrix LLC CurrentSince Nov 1, 2024 Accepting new patients
McKenzie Memorial Hospital CurrentSince Feb 10, 2019 Accepting new patients
McKenzie Memorial Hospital Nurse Practitioner Past Accepting new patients

Locations

251 E Peck Rd
Peck, MI 48466
Phone (810) 378-4900

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

120 N Delaware St
Sandusky, MI 48471
Phone (810) 648-3770

75 Dawson St
Sandusky, MI 48471
Phone (810) 648-2232

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1508336439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 DAWSON ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484713305",
            "telephone_number": "810-648-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 DAWSON ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484713305",
            "telephone_number": "810-648-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "MEGAN",
        "middle_name": "S",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704259207NSA18113",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704259207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "megan.burgess@mhs.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "75 Dawson St",
            "city": "Sandusky",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484713305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "MILLER",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandusky, MI

Sources for this page

Verify at the official NPI Registry.