Individual provider Active NPI

Megan Cathleen Bates, PA-C

  • Physician Assistant
  • Jupiter, FL
National Provider Identifier
1730625146
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110067 Issued in FL
Practice address
4601 Military TRL Ste 208
Jupiter, FL 33458-4837
Phone
(561) 795-3787
NPI assigned
Jan 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110067 FL Primary

Addresses

Primary practice location

4601 Military TRL Ste 208
Jupiter, FL 33458-4837

Mailing address

1995 E Oakland Park Blvd Ste 250
Fort Lauderdale, FL 33306-1149
Phone (954) 791-6146

Other practice location 1

1995 E Oakland Park Blvd Ste 250
Fort Lauderdale, FL 33306-1149
Phone (954) 791-6146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170708000303 FL Practitioner - Physician Assistant 2769751643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Practitioners, LLCGroup PAC ID 1658688304, 63 clinicians

Practice addresses (Care Compare)

1000 NE 56TH St
Fort Lauderdale, FL 33334-4149
Phone (954) 229-8635

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 747-2234

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9110067FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Institute of the Palm Beaches Inc CurrentSince Sep 28, 2021 Accepting new patients
Ap of Nashville, LLC PastSince Oct 6, 2019 Accepting new patients
Florida Practitioners, LLC PastSince Jun 28, 2020 Accepting new patients

Locations

4601 Military Trl
Ste 208
Jupiter, FL 33458
Phone (561) 795-3787

Interoperability endpoints

  • Direct secure messaging: mbates2116158@direct.trinity-health.org
  • Direct secure messaging: mbates19321@jupitermedicalcenter.direct-ci.com

Organizations & group practices 4

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 1

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": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1730625146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E OAKLAND PARK BLVD STE 250",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061149",
            "telephone_number": "954-791-6146",
            "fax_number": "954-337-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MILITARY TRL STE 208",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584837",
            "telephone_number": "561-795-3787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 E Oakland Park Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333061149",
            "country_code": "US",
            "telephone_number": "954-791-6146",
            "fax_number": "954-337-2733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "MEGAN",
        "middle_name": "CATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.