Active NPI
Megan Hannam, PA-C
- Physician Assistant
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3904 16TH St
Moline, IL 61265-1275 - Phone
- (309) 581-7610
- NPI assigned
- Sep 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3904 16TH St
Moline, IL 61265-1275
Mailing address
501 S Depot St
Annawan, IL 61234-9774
Phone (309) 238-5512
Other practice location 1
3415 53rd Ave
Bettendorf, IA 52722-6976
Phone (563) 742-4350
Other practice location 2
106 19th Ave Ste 103
Moline, IL 61265-3700
Phone (309) 779-7050
Other practice location 3
240 N Mason St
Sheffield, IL 61361-9158
Phone (815) 454-2811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Physical Therapy Services, LTD.
Practice addresses (Care Compare)
1051 W S St
Kewanee, IL 61443-8354
Phone (309) 852-7500
300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500
Hospital & facility affiliations
- Osf Saint Luke Medical Center
- Osf Saint Clare Medical Center
- Saint Francis Medical Center
- Osf Saint Elizabeth MDL Ctr
- Osf Saint Paul Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hammond Henry Dist Hospital | Multi-Specialty | Current | Accepting new patients |
| Osf Healthcare System | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Multi-Specialty | Current | Accepting new patients |
| Osf Healthcare System | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Healthcare System | Multi-Specialty | Past | Accepting new patients |
| Advanced Radiology, S.C. | Multi-Specialty | Past | Accepting new patients |
Locations
600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431
600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342
1258 W South St
Ste 2
Kewanee, IL 61443
1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
240 N Mason St
Sheffield, IL 61361
Phone (815) 454-2811
Organizations & group practices 12
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.
-
- Certified Registered Nurse Anesthetist
- Monmouth, IL
- NPI 1811016124
-
- Critical Access Hospital
- Geneseo, IL
- NPI 1457344491
-
- Rural Health Clinic/Center
- Kewanee, IL
- NPI 1629517313
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
IL
-
- Medicare Defined Swing Bed Hospital Unit
- Geneseo, IL
- NPI 1740397447
-
- Rural Health Clinic/Center
- Kewanee, IL
- NPI 1427475177
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Diagnostic Radiology Physician
- Rock Island, IL
- NPI 1790773539
Multi-Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mendota, IL
- NPI 1609803113
-
- Critical Access Hospital
- Princeton, IL
- NPI 1093308439
-
- Critical Access Hospital
- Kewanee, IL
- NPI 1871919381
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1659922649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S DEPOT ST",
"city": "ANNAWAN",
"state": "IL",
"postal_code": "612349774",
"telephone_number": "309-238-5512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3904 16TH ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612651275",
"telephone_number": "309-581-7610"
}
],
"practiceLocations": [
{
"address_1": "3415 53rd Ave",
"address_purpose": "LOCATION",
"city": "Bettendorf",
"state": "IA",
"postal_code": "527226976",
"country_code": "US",
"telephone_number": "563-742-4350",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "106 19th Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Moline",
"state": "IL",
"postal_code": "612653700",
"country_code": "US",
"telephone_number": "309-779-7050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 N Mason St",
"address_purpose": "LOCATION",
"city": "Sheffield",
"state": "IL",
"postal_code": "613619158",
"country_code": "US",
"telephone_number": "815-454-2811",
"fax_number": "815-454-2832",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNAM",
"first_name": "MEGAN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.