Individual provider Active NPI

Megan Sloan, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1639425499
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5057 Issued in WI
Practice address
10424 W Bluemound Rd
Milwaukee, WI 53226-4331
Phone
(414) 206-1606
Fax
(262) 208-1405
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 134469 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5057 WI Primary

Addresses

Primary practice location

10424 W Bluemound Rd
Milwaukee, WI 53226-4331

Mailing address

10424 W Bluemound Rd
Milwaukee, WI 53226-4331
Phone (414) 206-1606

Other practice location 1

1045 W Glen Oaks Ln Ste 1
Mequon, WI 53092-3477
Phone (262) 241-7778

Other identifiers 1

IdentifierTypeStateIssuer
100028070MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20121029000202 WI Practitioner - Nurse Practitioner 6901056969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ketamine Milwaukee SCGroup PAC ID 5799212288, 4 clinicians
Mequon Clinical Associates SCGroup PAC ID 5092876524, 11 clinicians

Practice addresses (Care Compare)

10424 W Bluemound Rd
Milwaukee, WI 53226-4331
Phone (414) 206-1606

1045 W Glen Oaks LN
Suite 1
Mequon, WI 53092-3477
Phone (262) 241-8100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5057WIMDClinical Psychologist
134469WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mequon Clinical Associates, SC CurrentSince Oct 1, 2024 Accepting new patients
Ketamine Milwaukee, SC Psychiatric/Mental Health CurrentSince Nov 18, 2024 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

1045 W Glen Oaks Ln
Ste 1
Mequon, WI 53092
Phone (262) 241-7778

1001 W Glen Oaks Ln
Ste 105
Mequon, WI 53092
Phone (414) 258-8314

10424 W Bluemound Rd
Wauwatosa, WI 53226
Phone (414) 206-1606

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1639425499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10424 W BLUEMOUND RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264331",
            "telephone_number": "414-206-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10424 W BLUEMOUND RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264331",
            "telephone_number": "414-206-1606",
            "fax_number": "262-208-1405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 W Glen Oaks Ln Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530923477",
            "country_code": "US",
            "telephone_number": "262-241-7778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "MEGAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "134469",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "5057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100028070",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "14555 W National Ave",
            "city": "New Berlin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531514494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.