Individual provider Active NPI

Megan Knupp, CPNP-PC

  • Pediatric Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1740918200
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
71012877A Issued in IN
Practice address
8402 Harcourt Rd Ste 300
Indianapolis, IN 46260-2052
Phone
(317) 338-5288
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 71012877A IN Primary

Addresses

Primary practice location

8402 Harcourt Rd Ste 300
Indianapolis, IN 46260-2052

Mailing address

8402 Harcourt Rd Ste 300
Indianapolis, IN 46260-2052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20221107001412 IN Practitioner - Nurse Practitioner 5496122301 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71012877AINMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Memorial Hospital CurrentSince Jan 7, 2024 Accepting new patients
Henry County Memorial Hospital CurrentSince Jan 7, 2024 Accepting new patients
Henry County Memorial Hospital Current Accepting new patients
Heritage House of Richmond Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

152 Wittenbraker Ave
New Castle, IN 47362
Phone (765) 521-1483

152 Wittenbraker Ave
Ste 500
New Castle, IN 47362
Phone (765) 599-3100

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1740918200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 HARCOURT RD STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 HARCOURT RD STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602052",
            "telephone_number": "317-338-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUPP",
        "first_name": "MEGAN",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71012877A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.