Individual provider Active NPI

Megan Brockman, APRN

  • Family Medicine Physician
  • Hawesville, KY
National Provider Identifier
1629528252
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
71006774A Issued in IN
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

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 HospitalGroup PAC ID 6901871276, 28 clinicians

Practice addresses (Care Compare)

35 Joshua LN
Hawesville, KY 42348-3500
Phone (270) 927-1000

Hospital & facility affiliations

  • Perry County Memorial Hospital Hospital, Tell City, IN, CCN 151322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71006774AINMDFamily Medicine Physician
28223788AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Perry County Memorial Hospital Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Perry County Memorial Hospital CurrentSince Oct 1, 2019 Accepting new patients
Perry County Memorial Hospital Family Medicine CurrentSince Jul 1, 2024 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

  • Direct secure messaging: megan.brockman.5@21400.direct.athenahealth.com
  • Direct secure messaging: 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.

View all 14

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

Verify at the official NPI Registry.