Individual provider Active NPI

Megan Hannam, PA-C

  • Physician Assistant
  • Moline, IL
National Provider Identifier
1659922649
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210624003503 IL Practitioner - Physician Assistant 9931517364 Reassigns benefits to 5 organizations

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
Osf Healthcare SystemGroup PAC ID 4284541806, 94 clinicians
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians

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 Hospital, Kewanee, IL, CCN 141325
  • Osf Saint Clare Medical Center Hospital, Princeton, IL, CCN 141337
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110
  • Osf Saint Paul Medical Center Hospital, Mendota, IL, CCN 141310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hammond Henry Dist Hospital Multi-Specialty CurrentSince Apr 1, 2023 Accepting new patients
Osf Healthcare System CurrentSince Apr 10, 2025 Accepting new patients
Osf Multi-Specialty Group Multi-Specialty CurrentSince Mar 28, 2025 Accepting new patients
Osf Healthcare System CurrentSince Apr 10, 2025 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Apr 1, 2023 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 PastSince Aug 14, 2022 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.