Individual provider Active NPI

Megan Lynn Koehler, CNM

  • Advanced Practice Midwife
  • Breese, IL
National Provider Identifier
1669986121
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209016720 Issued in IL
Practice address
9447 Holy Cross LN
Breese, IL 62230-3510
Phone
(618) 526-2209
Fax
(618) 526-7372
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209016720 IL Primary

Addresses

Primary practice location

9447 Holy Cross LN
Breese, IL 62230-3510

Mailing address

9447 Holy Cross LN
Breese, IL 62230-3510
Phone (618) 526-2209

Other identifiers 1

IdentifierTypeStateIssuer
209016720MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mschniers@sogamds.gwaydirect.com Direct

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180125001440 IL Practitioner - Certified Nurse Midwife (CNM) 4880953512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Center for Women'S Healthcare, LTDGroup PAC ID 7012818354, 93 clinicians

Practice addresses (Care Compare)

9447 Holy Cross LN
Breese, IL 62230-3510
Phone (618) 526-2209

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Breese, IL, CCN 140145
  • HSHS Holy Family Hospital Inc Hospital, Greenville, IL, CCN 140137
  • St Joseph'S Hospital Hospital, Highland, IL, CCN 141336
  • Fayette County Hospital Hospital, Vandalia, IL, CCN 141346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Women'S Health Care, LTD. CurrentSince Jan 21, 2025 Accepting new patients
Southern Obstetric & Gyneco Associates CurrentSince Jan 1, 2018 Accepting new patients
Southern Obstetric & Gyneco Associates CurrentSince Jan 1, 2018 Accepting new patients
Southern Obstetric & Gyneco Associates Current Accepting new patients
Inspire Wellness LLC PastSince Jan 12, 2025 Accepting new patients

Locations

2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015
Phone (847) 562-1410

9447 Holy Cross Ln
Breese, IL 62230
Phone (618) 526-2209

700 S Dewey St
Greenville, IL 62246
Phone (618) 526-2209

100 Woodcrest Dr
Highland, IL 62249
Phone (618) 526-2209

110 Woodcrest Dr
Highland, IL 62249
Phone (618) 651-0535

350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

Interoperability endpoints

  • Direct secure messaging: megan.koehler.1@21117.direct.athenahealth.com
  • Direct secure messaging: mschniers@sogamds.gwaydirect.com

Organizations & group practices 5

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 5

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": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1669986121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9447 HOLY CROSS LN",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622303510",
            "telephone_number": "618-526-2209",
            "fax_number": "618-526-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9447 HOLY CROSS LN",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622303510",
            "telephone_number": "618-526-2209",
            "fax_number": "618-526-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "MEGAN",
        "middle_name": "LYNN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209016720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209016720",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mschniers@sogamds.gwaydirect.com",
            "affiliation": "N",
            "endpointDescription": "practice messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9447 Holy Cross Ln",
            "city": "Breese",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622303510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Breese, IL

Sources for this page

Verify at the official NPI Registry.