Individual provider Active NPI

Maghan N Fares, APRN

  • Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1538541198
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3009456 Issued in KY
Practice address
1301 Pleasant Valley Rd
Suite 302
Owensboro, KY 42303-9774
Phone
(270) 417-7880
Fax
(270) 417-7888
NPI assigned
Jun 19, 2015
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3009456 KY Primary
Family Nurse Practitioner 363LF0000X 3009456 KY

Addresses

Primary practice location

1301 Pleasant Valley Rd
Suite 302
Owensboro, KY 42303-9774

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

420 Hopkinsville St
Greenville, KY 42345-1102
Phone (270) 377-2440

Other practice location 2

444 S Main St Ste A
Madisonville, KY 42431-2846
Phone (270) 417-7880

Other practice location 3

1213 North Main Strret
Beaver Dam, KY 42320-8955
Phone (270) 274-4771

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mfares53717@direct.owensborohealth.org
Direct Messaging Address mfares53717@direct.owensborohealth.org
Direct Messaging Address mfares53717@direct.owensborohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20150828001084 KY Practitioner - Nurse Practitioner 1052627544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Washington University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811

1301 Pleasant Valley Rd
Owensboro, KY 42303-9774

2211 Mayfair Dr
Owensboro, KY 42301-4569

444 S Main St
Madisonville, KY 42431-2846
Phone (270) 825-0069

PO Box
Suite 23229
Owensboro, KY 42304-3229

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc Family CurrentSince Jul 20, 2015 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation CurrentSince Oct 1, 2020 Accepting new patients
Ohio County Hospital Corporation CurrentSince Oct 1, 2020 Accepting new patients
Owensboro Health Medical Group, Inc Nurse Practitioner CurrentSince Jul 20, 2015 Accepting new patients
Owensboro Health Medical Group, Inc Nurse Practitioner Past Accepting new patients

Locations

1213 N Main St
Beaver Dam, KY 42320
Phone (270) 274-4771

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

444 S Main St
Ste A
Madisonville, KY 42431
Phone (270) 417-7800

1301 Pleasant Valley Rd
Ste 302
Owensboro, KY 42303
Phone (270) 417-7880

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

Organizations & group practices 7

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 3

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1538541198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLEASANT VALLEY RD",
            "address_2": "SUITE 302",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039774",
            "telephone_number": "270-417-7880",
            "fax_number": "270-417-7888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Hopkinsville St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "KY",
            "postal_code": "423451102",
            "country_code": "US",
            "telephone_number": "270-377-2440",
            "fax_number": "270-377-2441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "444 S Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424312846",
            "country_code": "US",
            "telephone_number": "270-417-7880",
            "fax_number": "270-417-7888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 North Main Strret",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "KY",
            "postal_code": "423208955",
            "country_code": "US",
            "telephone_number": "270-274-4771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARES",
        "first_name": "MAGHAN",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009456",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfares53717@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "444 S Main St Ste A",
            "city": "Madisonville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424312846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfares53717@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "420 Hopkinsville St",
            "city": "Greenville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423451102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfares53717@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "444 S Main St Ste A",
            "city": "Madisonville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424312846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.