Individual provider Active NPI

Megan Gibson, MSN, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Otterbein, IN
National Provider Identifier
1598423592
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71011988A Issued in IN
Practice address
606 N Maddox Road
Otterbein, IN 47970
Phone
(866) 682-5539
NPI assigned
Dec 7, 2021
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219001866 IN Practitioner - Nurse Practitioner 0749630697 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
Telehealth
Offers telehealth services
Group practices
Midwest Behavioral Health LLCGroup PAC ID 4587834874, 132 clinicians
Valley Oaks Health IncGroup PAC ID 7315927563, 45 clinicians

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

LicenseStateTypeSpecialty
71011988AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oaks Health Inc CurrentSince Dec 15, 2023 Accepting new patients
Midwest Behavioral Health LLC CurrentSince Aug 30, 2024 Accepting new patients
Valley Oaks Health Inc CurrentSince Dec 15, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.