Megan M Ingersoll, RN, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209006975 Issued in IL

Practice address

2100 Madison Ave
Granite City, IL 62040-4701

Phone

(618) 798-3857

NPI assigned

Feb 29, 2008

Last updated

Jul 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians

Wisconsin Spine and Pain SCGroup PAC ID 0345665469, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Family Memorial Hospital, Manitowoc, WI, CCN 520107

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Registered Nurse

Practice roles

Locations

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.

• Froedtert Manitowoc Medical Group, LLC

  dba Froedtert Northeast Medical Group

  • Multi-Specialty Clinic/Center
  • Manitowoc, WI
  • NPI 1437829975
  Medicare reassignment Care Compare group NPD
• Wisconsin Spine and Pain SC

  • Interventional Pain Medicine Physician
  • Sheboygan, WI
  • NPI 1790309276
  Medicare reassignment Care Compare group NPD
• Brookfield Anesthesiologists, S.C.

  • Anesthesiology Physician
  • Brookfield, WI
  • NPI 1942257902
  Medicare reassignment NPD
• Wisconsin Spine and Pain SC

  • Durable Medical Equipment & Medical Supplies
  • Appleton, WI
  • NPI 1285452391
  NPD
• Ahp of Illinois, Inc

  • Anesthesiology Physician
  • Granite City, IL
  • NPI 1629326954

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Granite City Clinic Corp

  dba Granite City Anesthesia

  • Certified Registered Nurse Anesthetist
  • Granite City, IL
  • NPI 1003892464

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Granite City Physicians Corp

  • Clinical Medical Laboratory
  • Granite City, IL
  • NPI 1508983214
  NPD (past)
• Chad Novasic PT LTD

  dba Alliant Physical Therapy Group

  • Physical Therapist
  • Racine, WI
  • NPI 1578679890
  NPD (past)
• Wisconsin Specialty Surgery Center,LLC

  • Ambulatory Surgical Clinic/Center
  • Kenosha, WI
  • NPI 1053721530
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Family Memorial Inc

  dba Froedtert Holy Family Memorial Hospital

  • General Acute Care Hospital
  • Manitowoc, WI
  • NPI 1700998697
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1720257157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404701",
            "telephone_number": "618-798-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404701",
            "telephone_number": "618-798-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGERSOLL",
        "first_name": "MEGAN",
        "middle_name": "M",
        "credential": "RN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209006975",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041343885",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SS#-001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Hylla, LCSW
• Joan Frances Hynek, APN
• Illinois Ear, Nose and Throat Associates, P.C
• Illinois Eye Specialists
• Illinois/Indiana Em-I Medical Services, SC
• Kyle Brandon Ingram, PHARMD
• Interventional Pain Management Services LLC
• Interventional Pain Management Services LLC
• Inwood Emergency Physicians, LLC
• Retunda Jackson- Phiffer

• Certified Registered Nurse Anesthetist in Granite City, IL
• Providers in Granite City, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.