Individual provider Active NPI

Megan Mohatt, P.A.C.

  • Physician Assistant
  • Arvada, CO
National Provider Identifier
1578831137
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3162 Issued in CO
Practice address
12650 W 64TH Ave
Unit E501
Arvada, CO 80004-3893
Phone
(303) 431-4127
Fax
(303) 431-4553
NPI assigned
Dec 9, 2011
Last updated
Mar 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3162 CO Primary

Addresses

Primary practice location

12650 W 64TH Ave
Unit E501
Arvada, CO 80004-3893

Mailing address

12650 W 64TH Ave
Unit E501
Arvada, CO 80004-3893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200417002530 TN Practitioner - Physician Assistant 5799941597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Medicine and Rehabilitation Group PCGroup PAC ID 7214921840, 9 clinicians

Practice addresses (Care Compare)

1805 Williamson CT
Brentwood, TN 37027-8164

1805 Williamson CT
Suite 200
Brentwood, TN 37027-8165
Phone (615) 331-5536

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3162COMDMental Health Counselor
4057TNMDPhysical Therapy 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1578831137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12650 W 64TH AVE",
            "address_2": "UNIT E501",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800043893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12650 W 64TH AVE",
            "address_2": "UNIT E501",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800043893",
            "telephone_number": "303-431-4127",
            "fax_number": "303-431-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHATT",
        "first_name": "MEGAN",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.