Individual provider Active NPI

Megan Anderson

  • Family Nurse Practitioner
  • Wooster, OH
National Provider Identifier
1508450586
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028767 Issued in OH
Practice address
2326 Eagle Pass
Wooster, OH 44691-5338
Phone
(330) 263-8470
NPI assigned
Feb 21, 2021
Last updated
Oct 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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 F02210397 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.0028767 OH Primary

Addresses

Primary practice location

2326 Eagle Pass
Wooster, OH 44691-5338

Mailing address

PO Box 582
Westfield Center, OH 44251-0582
Phone (330) 466-6323

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210512001324 OH Practitioner - Nurse Practitioner 0547679151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomington Medical Services LLCGroup PAC ID 9032297627, 106 clinicians

Practice addresses (Care Compare)

2326 A Eagle Pass
Wooster, OH 44691-5338
Phone (330) 202-3477

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.09 of 100Reported as group
Quality
59.24
Promoting interoperability
99
Improvement activities
40
Cost
78.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0028767OHMDFamily Nurse Practitioner
F02210397OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Medical Services LLC CurrentSince Apr 22, 2021 Accepting new patients

Locations

1685 Cleveland Rd
Ste 101
Wooster, OH 44691
Phone (330) 263-8470

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

2326 Eagle Pass
Wooster, OH 44691
Phone (330) 262-2800

2326A Eagle Pass
Wooster, OH 44691
Phone (330) 202-3477

Interoperability endpoints

  • Direct secure messaging: megan.anderson@bloomingtonmedical.medicity.net

Organizations & group practices 1

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 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": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1508450586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 582",
            "city": "WESTFIELD CENTER",
            "state": "OH",
            "postal_code": "442510582",
            "telephone_number": "330-466-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 EAGLE PASS",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446915338",
            "telephone_number": "330-263-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F02210397",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.