Active NPI
Megan Brockman, APRN
- Family Medicine Physician
- Hawesville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 71006774A
- Practice address
- 35 Joshua LN
Hawesville, KY 42348-3500 - Phone
- (270) 927-1000
- NPI assigned
- Oct 6, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71006774A | IN | |
| Family Medicine Physician | 207Q00000X | 71006774A | IN | Primary |
| Family Nurse Practitioner | 363LF0000X | 28223788A | IN |
Addresses
Primary practice location
35 Joshua LN
Hawesville, KY 42348-3500
Mailing address
35 Joshua LN
Hawesville, KY 42348-3500
Phone (270) 927-1000
Other practice location 1
8885 State Road 237
Tell City, IN 47586-8567
Phone (812) 547-7011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170223001488 | IN | Practitioner - Nurse Practitioner | 7719261486 | Reassigns benefits to 1 organization |
| I20210316000444 | KY | Practitioner - Nurse Practitioner | 7719261486 | 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
- Perry County Memorial Hospital
Practice addresses (Care Compare)
35 Joshua LN
Hawesville, KY 42348-3500
Phone (270) 927-1000
Hospital & facility affiliations
- Perry County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71006774A | IN | MD | Family Medicine Physician |
| 28223788A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perry County Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Perry County Memorial Hospital | Current | Accepting new patients | |
| Perry County Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Complete Wellness Chiropractic Andrew Becker Chiropractic PC | Past | Accepting new patients | |
| Advanced Wellness Chiropractic, PLLC | Past | Accepting new patients | |
| Perry County Memorial Hospital | Family | Past | Accepting new patients |
Locations
510 Washington St
Cannelton, IN 47520
Phone (812) 547-4176
148 13th St
Tell City, IN 47586
Phone (812) 547-0333
8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185
109 US Highway 66 E
Tell City, IN 47586
Phone (812) 547-3447
35 Joshua Ln
Hawesville, KY 42348
Phone (270) 927-1000
Interoperability endpoints
- megan.brockman.5@21400.direct.athenahealth.com
- megan.harth@cwi-ky.direct.office.nextgen.com
Organizations & group practices 14
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.
-
- Family Medicine Physician
- Hawesville, KY
- NPI 1801637343
Family Medicine, KY
-
- General Practice Physician
- Tell City, IN
- NPI 1629621396
Family Medicine, IN
-
- Rural Health Clinic/Center
- Tell City, IN
- NPI 1023009339
-
- Home Health Agency
- Tell City, IN
- NPI 1154326098
-
- Orthopaedic Surgery Physician
- Tell City, IN
- NPI 1184348484
-
- Ambulance
- Tell City, IN
- NPI 1356309777
-
- Rural Health Clinic/Center
- Rockport, IN
- NPI 1487217121
-
- Critical Access Hospital
- Tell City, IN
- NPI 1699779017
-
- Medicare Defined Swing Bed Hospital Unit
- Tell City, IN
- NPI 1841258035
-
- Rural Health Clinic/Center
- Tell City, IN
- NPI 1922393768
-
- Nurse Practitioner
- Tell City, IN
- NPI 1740151489
-
- Chiropractor
- Hawesville, KY
- NPI 1912178260
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": "1475712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1629528252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 JOSHUA LN",
"city": "HAWESVILLE",
"state": "KY",
"postal_code": "423483500",
"telephone_number": "270-927-1000",
"fax_number": "270-927-1077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 JOSHUA LN",
"city": "HAWESVILLE",
"state": "KY",
"postal_code": "423483500",
"telephone_number": "270-927-1000"
}
],
"practiceLocations": [
{
"address_1": "8885 State Road 237",
"address_purpose": "LOCATION",
"city": "Tell City",
"state": "IN",
"postal_code": "475868567",
"country_code": "US",
"telephone_number": "812-547-7011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROCKMAN",
"first_name": "MEGAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-06",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71006774A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "71006774A",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28223788A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawesville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.