Active NPI
Megan Gibson, MSN, RN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Otterbein, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71011988A
- Practice address
- 606 N Maddox Road
Otterbein, IN 47970 - Phone
- (866) 682-5539
- NPI assigned
- Dec 7, 2021
- Last updated
- Feb 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71011988A | IN | Primary |
Addresses
Primary practice location
606 N Maddox Road
Otterbein, IN 47970
Mailing address
606 N Maddox Road
Otterbein, IN 47970
Phone (866) 682-5539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11900 N Penn St
Suite 104
Carmel, IN 46032-4694
Phone (317) 663-2423
415 N 26TH St
Lafayette, IN 47904-2895
Phone (765) 446-6549
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71011988A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Oaks Health Inc | Current | Accepting new patients | |
| Midwest Behavioral Health LLC | Current | Accepting new patients | |
| Valley Oaks Health Inc | Current | Accepting new patients |
Locations
41 N Long Ave
Attica, IN 47918
Phone (765) 762-6187
11900 Pennsylvania St
Ste 104
Carmel, IN 46032
Phone (317) 663-2423
1480 Darlington Ave
Crawfordsville, IN 47933
Phone (765) 362-2852
1265 N Bradford Dr
Delphi, IN 46923
Phone (765) 564-2247
7300 E Indiana St
Ste 103
Evansville, IN 47715
Phone (812) 401-8008
2015 Meharry St
Lafayette, IN 47904
Phone (765) 742-0183
2111 Teal Rd
Lafayette, IN 47905
Phone (765) 446-6562
217 Farabee Dr N
Lafayette, IN 47905
Phone (765) 250-5416
2323 Ferry St
Lafayette, IN 47904
Phone (765) 270-4403
415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400
415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535
610 Main St
Lafayette, IN 47901
Phone (765) 423-2638
920 W Executive Ct
Monticello, IN 47960
Phone (574) 446-6573
131 W Drexel Pkwy
Rensselaer, IN 47978
Phone (219) 866-4194
2900 N River Rd
West Lafayette, IN 47906
Phone (765) 463-2255
5307 N 50 W
West Lafayette, IN 47906
Phone (765) 463-3662
Interoperability endpoints
- lifestancehealth.megangibson@140099.advancedmd-direct.com
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.
-
dba dba LifeStance Health
- Psychiatry Physician
- Evansville, IN
- NPI 1427362201
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lafayette, IN
- NPI 1689629990
-
- Federally Qualified Health Center (FQHC)
- Lafayette, IN
- NPI 1134901135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1598423592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 N MADDOX ROAD",
"city": "OTTERBEIN",
"state": "IN",
"postal_code": "47970",
"telephone_number": "866-682-5539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 N MADDOX ROAD",
"city": "OTTERBEIN",
"state": "IN",
"postal_code": "47970",
"telephone_number": "866-682-5539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "MEGAN",
"credential": "MSN, RN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2024-02-22",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71011988A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Otterbein, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.