Individual provider Active NPI

Megan Marie Hickson

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1639633282
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12022 Issued in WI
Practice address
1914 Swift Ave
Kansas City, MO 64116-3447
Phone
(816) 221-1603
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12022 WI Primary
Registered Nurse 163W00000X 14131720012 KS
Registered Nurse 163W00000X 2014013260 MO
Family Nurse Practitioner 363LF0000X 2020019707 MO

Addresses

Primary practice location

1914 Swift Ave
Kansas City, MO 64116-3447

Mailing address

1914 Swift Ave
Kansas City, MO 64116-3447
Phone (816) 221-1603

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
I20220822001247 WI Practitioner - Nurse Practitioner 9638598428 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Medical SCGroup PAC ID 0042595175, 118 clinicians

Practice addresses (Care Compare)

1451 Cleveland Ave
Waukesha, WI 53186-3876
Phone (262) 547-2123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14131720012KSMDRegistered Nurse
2014013260MOMDRegistered Nurse
12022WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Urology Group, SC CurrentSince Mar 3, 2024 Accepting new patients
Maple Medical SC CurrentSince Nov 1, 2024 Accepting new patients
Oak Medical SC CurrentSince Nov 1, 2024 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

7400 W Rawson Ave
Ste 130
Franklin, WI 53132
Phone (414) 425-8700

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

1451 Cleveland Ave
Waukesha, WI 53186
Phone (262) 547-2123

2600 N Mayfair Rd
Ste 545
Wauwatosa, WI 53226
Phone (414) 476-0430

Interoperability endpoints

  • Direct secure messaging: meganhickson@metro.medalliesdirect.net

Organizations & group practices 4

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": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1639633282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 SWIFT AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163447",
            "telephone_number": "816-221-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 SWIFT AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163447",
            "telephone_number": "816-221-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKSON",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "12022",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14131720012",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2014013260",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020019707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.