Individual provider Active NPI

Megan Leann Nicely, FNP-BC

  • Family Nurse Practitioner
  • Norton, VA
National Provider Identifier
1578093662
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174398 Issued in VA
Practice address
100 15TH St NW
Norton, VA 24273-1616
Phone
(276) 439-1000
NPI assigned
Jun 13, 2017
Last updated
Jun 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024174398 VA Primary

Addresses

Primary practice location

100 15TH St NW
Norton, VA 24273-1616

Mailing address

PO Box 3293
Wise, VA 24293-3293
Phone (276) 870-1880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170825002321 VA Practitioner - Nurse Practitioner 5799057774 Reassigns benefits to 5 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
Western Virginia Regional Emergency Physicians LLCGroup PAC ID 4183991227, 88 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Southeastern Intensivist Services PCGroup PAC ID 9335152107, 234 clinicians

Practice addresses (Care Compare)

100 15TH St NW
Norton, VA 24273-1616
Phone (276) 439-1000

200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-8181

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Dec 20, 2017 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Western Virginia Regional Emergency Physicians, LLC CurrentSince Jun 21, 2017 Accepting new patients
Emergency Physicians of Southern Virginia LLP CurrentSince Apr 27, 2022 Accepting new patients
Emergency Coverage, LLC CurrentSince Sep 1, 2024 Accepting new patients
Hidden Valley Healthcare Services Inc Family CurrentSince Jan 7, 2024 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Sep 4, 2024 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Dec 20, 2017 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

100 15th St NW
Ste A
Norton, VA 24273
Phone (276) 439-1840

Organizations & group practices 9

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1578093662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3293",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242933293",
            "telephone_number": "276-870-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 15TH ST NW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731616",
            "telephone_number": "276-439-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICELY",
        "first_name": "MEGAN",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.