Megan Nichole Wimberly, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10026030 Issued in OR

Practice address

1800 Blankenship Rd Ste 350
West Linn, OR 97068-4182

Phone

(503) 213-6600

NPI assigned

May 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gresham Family Care Inc

  • Family Medicine Physician
  • West Linn, OR
  • NPI 1710510094
  NPD

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1619725447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BLANKENSHIP RD STE 350",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684182",
            "telephone_number": "503-213-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BLANKENSHIP RD STE 350",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684182",
            "telephone_number": "503-213-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBERLY",
        "first_name": "MEGAN",
        "middle_name": "NICHOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10026030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willamette Nurse Consultant Group LLC
• Willamette Pain and Spine Center, PC
• Willamette Procedure Center PC
• Kelly Anne Williams, RN
• Anne Marie Wilson, RN
• Addison Brown Wise, PT, DPT
• Adria Withrow
• Karoline Woitke, PA-C
• Lisa S Wolf, OTR/L
• Jamie Lynn Woodley, LMT

• Family Nurse Practitioner in West Linn, OR
• Providers in West Linn, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.