Individual provider Active NPI

Megan Kathleen McCrea, PA-C

  • Physician Assistant
  • Quincy, MA
National Provider Identifier
1548822323
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA7875 Issued in MA
Practice address
36 Adams St
Quincy, MA 02169-2002
Phone
(617) 773-0711
Fax
(617) 472-5400
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA7875 MA Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

36 Adams St
Quincy, MA 02169-2002

Mailing address

36 Adams St
Quincy, MA 02169-2002
Phone (617) 773-0711

Other practice location 1

85 Katydid Dr
Branchburg, NJ 08876-3310
Phone (908) 566-2683

Other practice location 2

60 Pompton Ave
Verona, NJ 07044-2946
Phone (973) 571-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20201218001912 MA Practitioner - Physician Assistant 4688006869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adams Street Dermatology Assoc, PCGroup PAC ID 0042397374, 4 clinicians

Practice addresses (Care Compare)

36 Adams St
Quincy, MA 02169-2002
Phone (617) 773-9805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA7875MAMDPhysician Assistant

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1548822323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ADAMS ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021692002",
            "telephone_number": "617-773-0711",
            "fax_number": "617-472-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ADAMS ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021692002",
            "telephone_number": "617-773-0711",
            "fax_number": "617-472-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Katydid Dr",
            "address_purpose": "LOCATION",
            "city": "Branchburg",
            "state": "NJ",
            "postal_code": "088763310",
            "country_code": "US",
            "telephone_number": "908-566-2683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Pompton Ave",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "NJ",
            "postal_code": "070442946",
            "country_code": "US",
            "telephone_number": "973-571-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCREA",
        "first_name": "MEGAN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7875",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.