NPIMap

Individual provider Active NPI

Megan Elizabeth Kendall, FNP-BC

  • Podiatrist
  • Appleton, WI
National Provider Identifier
1780127563
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
782233 Issued in WI
Practice address
2005 S Lake Park Rd
Appleton, WI 54915-4155
Phone
(920) 882-9990
Fax
(920) 882-9544
NPI assigned
Nov 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22047 TN
Family Nurse Practitioner 363LF0000X 7822 WI
Podiatrist 213E00000X 782233 WI Primary

Addresses

Primary practice location

2005 S Lake Park Rd
Appleton, WI 54915-4155

Mailing address

2005 S Lake Park Rd
Appleton, WI 54915-4155
Phone (920) 882-9990

Other practice location 1

2500 E Capitol Dr
Appleton, WI 54911-8735
Phone (920) 830-5879

Other practice location 2

W3208 Van Roy Rd
Appleton, WI 54915-4086
Phone (866) 455-8111

Other practice location 3

1000 W Northland Ave
Appleton, WI 54914-1419
Phone (866) 455-8111

Other practice location 4

102 Suggs Dr
Lebanon, TN 37087-7661
Phone (920) 716-3310

Other names 1

  • Megan Elizabeth Marks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170916000164 WI Practitioner - Nurse Practitioner 5799059648 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Froedtert Manitowoc Medical Group, LLC 156 clinicians
North Shore Foot and Ankle, S.C. 3 clinicians
Thedacare, Incorporated 654 clinicians

Practice addresses (Care Compare)

1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436

1650 S 41St St
Manitowoc, WI 54220-7316
Phone (920) 320-2011

2005 S Lake Park Rd
Appleton, WI 54915-4155
Phone (920) 882-9990

2500 E Capital Dr
Appleton, WI 54911-8735
Phone (920) 364-3600

Hospital & facility affiliations

  • Thedacare Regional Medical Center - Appleton Inc Hospital, Appleton, WI, CCN 520160
  • Thedacare Regional Med Ctr - Neenah Hospital, Neenah, WI, CCN 520045
  • Holy Family Memorial Hospital, Manitowoc, WI, CCN 520107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22047TNMDPharmacist
7822WIMDPharmacist
782233WIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Foot & Ankle, S.C. Podiatrist CurrentSince Dec 13, 2022 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Jan 13, 2020 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Feb 15, 2026 Accepting new patients
Thedacare, Incorporated CurrentSince Aug 1, 2017 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Jan 13, 2020 Accepting new patients
Thedacare, Incorporated CurrentSince Aug 1, 2017 Accepting new patients
North Shore Foot & Ankle, S.C. Podiatrist CurrentSince Dec 13, 2022 Accepting new patients

Locations

2500 E Capitol Dr
Appleton, WI 54911
Phone (920) 738-4600

1000 W Northland Ave
Appleton, WI 54914
Phone (866) 455-8111

W3208 Van Roy Rd
Appleton, WI 54915
Phone (866) 455-8111

2005 S Lake Park Rd
Appleton, WI 54915
Phone (920) 882-9990

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

122 E College Ave
Appleton, WI 54911
Phone (920) 996-3264

1650 S 41st St
Manitowoc, WI 54220
Phone (920) 320-3100

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

217 Ceape Ave
Oshkosh, WI 54901
Phone (920) 882-9990

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

Interoperability endpoints

  • Direct secure messaging: mkendall182564@direct.thedacare.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1780127563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 S LAKE PARK RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154155",
            "telephone_number": "920-882-9990",
            "fax_number": "920-882-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 S LAKE PARK RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154155",
            "telephone_number": "920-882-9990",
            "fax_number": "920-882-9544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 E Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549118735",
            "country_code": "US",
            "telephone_number": "920-830-5879",
            "fax_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W3208 Van Roy Rd",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549154086",
            "country_code": "US",
            "telephone_number": "866-455-8111",
            "fax_number": "920-830-7806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Northland Ave",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549141419",
            "country_code": "US",
            "telephone_number": "866-455-8111",
            "fax_number": "920-831-0827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Suggs Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370877661",
            "country_code": "US",
            "telephone_number": "920-716-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22047",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7822",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "782233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "MARKS",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.