NPIMap

Individual provider Active NPI

Megan R Jacobson, MD

  • Family Medicine Physician
  • Moore, OK
National Provider Identifier
1629484233
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32769 Issued in OK
Practice address
700 S Telephone Rd
Moore, OK 73160-2550
Phone
(405) 912-3120
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32769 OK Primary

Addresses

Primary practice location

700 S Telephone Rd
Moore, OK 73160-2550

Mailing address

700 S Telephone Rd
Moore, OK 73160-2550
Phone (405) 912-3120

Other names 1

  • Megan R Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170823000557 TX Practitioner - Family Practice 2062784226 Reassigns benefits to 1 organization
I20240228000900 OK Practitioner - Family Practice 2062784226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norman Regional Providers Primary CareGroup PAC ID 5496837718, 56 clinicians

Practice addresses (Care Compare)

2605 SW 119TH St a
Primary Care
Oklahoma City, OK 73170-2601
Phone (405) 912-3400

2605 SW 119TH St B
Chiropractic and Wellness Clinic
Oklahoma City, OK 73170-2601
Phone (405) 912-3900

700 S Telephone Rd
201 Primary Care Moore
Moore, OK 73160-2538
Phone (405) 912-3120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen Potawatomi Nation CurrentSince Aug 1, 2017 Accepting new patients
Citizen Potawatomi Nation CurrentSince Aug 1, 2017 Accepting new patients
Norman Regional Providers Primary Care Family Medicine CurrentSince Feb 19, 2024 Accepting new patients
Citizen Potawatomi Nation Current Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

700 S Telephone Rd
Moore, OK 73160
Phone (405) 793-9355

700 S Telephone Rd
Ste 201
Moore, OK 73160
Phone (405) 307-5735

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

2605 SW 119th St
Ste A
Oklahoma City, OK 73170
Phone (405) 912-3100

2307 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-5236

781 Grand Casino Blvd
Shawnee, OK 74804
Phone (405) 964-4025

Interoperability endpoints

  • Direct secure messaging: megan.jacobson@nrh.eclinicaldirectplus.com
  • FHIR API: https://epicproxy.et1447.epichosted.com/APIProxyPRD/api/FHIR/R4

Organizations & group practices 6

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 8

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1629484233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S TELEPHONE RD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602550",
            "telephone_number": "405-912-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S TELEPHONE RD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602550",
            "telephone_number": "405-912-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "MEGAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "32769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "WILSON",
            "middle_name": "R",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.