Individual provider Active NPI

Megan Reno

  • Physician Assistant
  • Butler, MO
National Provider Identifier
1740721562
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2017006452 Issued in MO
Practice address
615 W Nursery St
Butler, MO 64730-1840
Phone
(660) 200-7000
NPI assigned
Mar 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 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 2017006452 MO Primary

Addresses

Primary practice location

615 W Nursery St
Butler, MO 64730-1840

Mailing address

615 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-7000

Other practice location 1

617 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-7133

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://www.bcmhospital.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20170323002532 MO Practitioner - Physician Assistant 2466737945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Missouri, Kansas City, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bates County Memorial HospitalGroup PAC ID 8123937356, 66 clinicians

Practice addresses (Care Compare)

615 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-2004

617 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-7133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017006452MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mawd Pathologists, LLC Current Accepting new patients
Mawd Pathology Group Inc Current Accepting new patients
Bates County Memorial Hospital CurrentSince Mar 1, 2017 Accepting new patients
Bates County Memorial Hospital CurrentSince Mar 1, 2017 Accepting new patients

Locations

617 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

Interoperability endpoints

  • Direct secure messaging: megan.reno.1@15058.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1740721562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W NURSERY ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301840",
            "telephone_number": "660-200-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W NURSERY ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301840",
            "telephone_number": "660-200-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 W Nursery St",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "MO",
            "postal_code": "647301840",
            "country_code": "US",
            "telephone_number": "660-200-7133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENO",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2017006452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.bcmhospital.com/",
            "affiliation": "N",
            "address_1": "615 W Nursery St",
            "city": "Butler",
            "state": "MO",
            "country_code": "US",
            "postal_code": "647301840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Butler, MO

Sources for this page

Verify at the official NPI Registry.