Individual provider Active NPI

Megan Wallwork Benton, DNP

  • Family Nurse Practitioner
  • Transfer, PA
National Provider Identifier
1710726997
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030127 Issued in PA
Practice address
225 Edgewood Drive Ext
Transfer, PA 16154-1817
Phone
(724) 962-3553
Fax
(724) 962-3630
NPI assigned
May 20, 2024
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP030127 PA Primary
Registered Nurse 163W00000X RN615578 PA

Addresses

Primary practice location

225 Edgewood Drive Ext
Transfer, PA 16154-1817

Mailing address

63 Pitt St
Sharon, PA 16146-2102
Phone (724) 962-3553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240808003979 PA Practitioner - Nurse Practitioner 1951848894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health NetworkGroup PAC ID 9234046228, 64 clinicians

Practice addresses (Care Compare)

1555 Shawna Rd
Cherry Tree, PA 15724-9003
Phone (814) 743-5449

225 Edgewood Dr Ext
Transfer, PA 16154-1817
Phone (724) 962-3553

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN615578PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Sep 1, 2024 Accepting new patients
Primary Health Network CurrentSince Sep 1, 2024 Accepting new patients
Primary Health Network Past Accepting new patients

Locations

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

225 Edgewood Drive Ext
Transfer, PA 16154
Phone (724) 962-3553

Interoperability endpoints

  • Direct secure messaging: meganbenton@primaryhn.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1710726997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PITT ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462102",
            "telephone_number": "724-962-3553",
            "fax_number": "724-962-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EDGEWOOD DRIVE EXT",
            "city": "TRANSFER",
            "state": "PA",
            "postal_code": "161541817",
            "telephone_number": "724-962-3553",
            "fax_number": "724-962-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "MEGAN",
        "middle_name": "WALLWORK",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030127",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN615578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Transfer, PA

Sources for this page

Verify at the official NPI Registry.