Individual provider Active NPI

Megan M Knutson, APRN

  • Nurse Practitioner
  • Fairbury, NE
National Provider Identifier
1548837115
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
999999 Issued in NE
Practice address
2200 H St
Fairbury, NE 68352-1119
Phone
(402) 729-3351
Fax
(402) 729-2102
NPI assigned
Jun 10, 2021
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 999999 NE Primary

Addresses

Primary practice location

2200 H St
Fairbury, NE 68352-1119

Mailing address

PO Box 277
Fairbury, NE 68352-0277
Phone (402) 729-3351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20210622001762 NE Practitioner - Nurse Practitioner 0244631778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Community Health Center IncGroup PAC ID 2668574542, shared by 5 NPIs, 24 clinicians

Practice addresses (Care Compare)

2200 H St
Fairbury, NE 68352-1119
Phone (402) 729-3351

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
999999NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Community Health Center Inc CurrentSince Jun 14, 2021 Accepting new patients
Jefferson Community Health Center, Inc. Current Accepting new patients
Jefferson Community Health Center Inc CurrentSince Jun 14, 2021 Accepting new patients

Locations

2200 H St
Fairbury, NE 68352
Phone (402) 729-3351

2200 H St
#277
Fairbury, NE 68352
Phone (402) 729-3351

825 22nd St
Fairbury, NE 68352
Phone (402) 416-3398

Organizations & group practices 3

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 1

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1548837115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683520277",
            "telephone_number": "402-729-3351",
            "fax_number": "402-729-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 H ST",
            "city": "FAIRBURY",
            "state": "NE",
            "postal_code": "683521119",
            "telephone_number": "402-729-3351",
            "fax_number": "402-729-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "MEGAN",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "999999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbury, NE

Sources for this page

Verify at the official NPI Registry.