Individual provider Active NPI

Megan Vallance McNeil, NP

  • Adult Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1730644824
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3015539 Issued in KY
Practice address
125 E Maxwell St
Ste 303
Lexington, KY 40508
Phone
(859) 257-7171
NPI assigned
Feb 4, 2019
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-153253 AL
Adult Health Nurse Practitioner 363LA2200X 3015539 KY Primary
Gerontology Nurse Practitioner 363LG0600X 3015539 KY

Addresses

Primary practice location

125 E Maxwell St
Ste 303
Lexington, KY 40508

Mailing address

3153 Dauphin St
Mobile, AL 36606-4061
Phone (251) 340-6600

Other practice location 1

3153 Dauphin St
Mobile, AL 36606-4061
Phone (251) 340-6600

Other identifiers 2

IdentifierTypeStateIssuer
A05323AOtherALMEDICARE
512-22153OtherALBCBS OF AL

Other names 1

  • Megan Rachelle Vallance Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190401001698 AL Practitioner - Nurse Practitioner 0042551087 Reassigns benefits to 1 organization
I20210126003382 KY Practitioner - Nurse Practitioner 0042551087 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-153253ALMDNurse Practitioner
3015539KYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky CurrentSince Jan 1, 2021 Accepting new patients
The Park Clinic for Cosmetic and Reconstructive Surgery, P.C. CurrentSince Jan 30, 2019 Accepting new patients
Plastic Surgeons of Lexington, PLLC Current Accepting new patients

Locations

3153 Dauphin St
Mobile, AL 36606
Phone (251) 340-6600

3700 Dauphin St
Ste A
Mobile, AL 36608
Phone (251) 340-6600

125 E Maxwell St
Lexington, KY 40508
Phone (859) 323-0005

125 E Maxwell St
Ste 303
Lexington, KY 40508
Phone (859) 254-5665

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

Interoperability endpoints

  • Direct secure messaging: mmcneil33542@ukhcdirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1730644824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3153 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064061",
            "telephone_number": "251-340-6600",
            "fax_number": "251-479-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E MAXWELL ST",
            "address_2": "STE 303",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40508",
            "telephone_number": "859-257-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3153 Dauphin St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366064061",
            "country_code": "US",
            "telephone_number": "251-340-6600",
            "fax_number": "251-479-7164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "MEGAN",
        "middle_name": "VALLANCE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-153253",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3015539",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3015539",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A05323A",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "512-22153",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "VALLANCE",
            "middle_name": "RACHELLE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.