Active NPI
Megan E Andersen, APRN
- Nurse Practitioner
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN9310997
- Practice address
- 110 Hampton Point Dr
St Augustine, FL 32092-3063 - Phone
- (904) 484-7222
- Fax
- (904) 391-7437
- NPI assigned
- Nov 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN9310997 | FL | Primary |
Addresses
Primary practice location
110 Hampton Point Dr
St Augustine, FL 32092-3063
Mailing address
PO Box 45443
Salt Lake City, UT 84145-0443
Phone (904) 202-1032
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 Hampton Point Dr
St Augustine, FL 32092-3063
Phone (904) 376-3707
Hospital & facility affiliations
- Pinnacle Home Care
- Baptist Health Medical Center - Jacksonville
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.44 of 100
- Quality
- 84.21
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9310997 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Primary Care Inc | Nurse Practitioner | Current | Accepting new patients |
| Baptist Primary Care Inc | Current | Accepting new patients | |
| Baptist Primary Care Inc | Current | Accepting new patients | |
| Bagnoli and Salah Partnership | Past | Accepting new patients | |
| Physicians Group Services PA | Family | Past | Accepting new patients |
Locations
836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656
110 Hampton Point Dr
Saint Augustine, FL 32092
Phone (904) 484-7772
Interoperability endpoints
- mandersen20947@baptisthealthsystemjacksonville.direct-ci.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.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1508817529
Nurse Practitioner
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1013160704
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1427239474
-
- Pulmonary Disease Physician
- Jacksonville, FL
- NPI 1144287335
-
- Family Medicine Physician
- Orange Park, FL
- NPI 1861440810
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1134716970
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1760925903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45443",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841450443",
"telephone_number": "904-202-1032",
"fax_number": "904-376-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HAMPTON POINT DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923063",
"telephone_number": "904-484-7222",
"fax_number": "904-391-7437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "MEGAN",
"middle_name": "E",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-20",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9310997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.