Individual provider Active NPI

Megan Doheny, MSN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Hobart, IN
National Provider Identifier
1609318922
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
71006703A Issued in IN
Practice address
1400 S Lake Park Ave
Suite 205
Hobart, IN 46342-6790
Phone
(219) 942-8620
NPI assigned
Nov 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 71006703A IN Primary

Addresses

Primary practice location

1400 S Lake Park Ave
Suite 205
Hobart, IN 46342-6790

Mailing address

1400 S Lake Park Ave
Suite 205
Hobart, IN 46342-6790
Phone (219) 942-8620

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
I20170112000293 IN Practitioner - Nurse Practitioner 9638450315 Reassigns benefits to 1 organization

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
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

1400 S Lake Park Ave
Suite 205
Hobart, IN 46342-6791
Phone (219) 942-8620

Hospital & facility affiliations

  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc CurrentSince Dec 10, 2016 Accepting new patients

Locations

1400 S Lake Park Ave
Ste 205
Hobart, IN 46342
Phone (219) 942-8620

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

3545 Arbor Blvd
Ste A
Portage, IN 46368
Phone (219) 703-2591

3545 Arbor Blvd
Portage, IN 46368
Phone (219) 759-6092

Interoperability endpoints

  • Direct secure messaging: mdoheny69033@ssdirect.comhs.org

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 and National Provider Directory roles.

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": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1609318922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE",
            "address_2": "SUITE 205",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426790",
            "telephone_number": "219-942-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE",
            "address_2": "SUITE 205",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426790",
            "telephone_number": "219-942-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHENY",
        "first_name": "MEGAN",
        "credential": "MSN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71006703A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.