Megan Green Carpenter – Family Nurse Practitioner

Key facts

NPI: 1780157727
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 903083 (MS)
Practice address: 551 Medical Dr
Clarksdale, MS 38614-6733
Phone: (662) 624-2531
NPI assigned: Jan 2, 2019
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Delta Medical Foundation Rural Health Clinic/Center · Clarksdale, MS · NPI 1508363060

Medicare reassignment Care Compare group NPD MS
Delta Medical Foundation Rural Health Clinic/Center · Marks, MS · NPI 1720585490

Care Compare group NPD

Hospital & facility affiliations 2

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

Northwest Miss Regional Medical Center General Acute Care Hospital · Clarksdale, MS · NPI 1275217606

Care Compare affiliation Hospital
Ways, LLC Home Health Agency · Cleveland, MS · NPI 1215244017

Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2018
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Delta Medical Foundation (8 clinicians)

Practice addresses (Care Compare)

1022 Martin Luther King Dr
Marks, MS 38646-1832
Phone (662) 326-3500

1024 Martin Luther King Dr
Marks, MS 38646-1832
Phone (662) 326-3502

551 Medical Dr
Clarksdale, MS 38614-6733
Phone (662) 624-2531

PO Box
Suite 289
Marks, MS 38646-0289

Hospital & facility affiliations

Vitalcaring Group Home health agency · Cleveland, MS · CCN 257016
Northwest Missississippi Regional Medical Center Hospital · Clarksdale, MS · CCN 250042

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MS
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20190415000988	MS	Practitioner - Nurse Practitioner	5193066454	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Delta Medical Foundation		Current since Apr 14, 2019	Accepting new patients
Delta Medical Foundation		Current since Apr 14, 2019	Accepting new patients

Locations

551 Medical Dr
Clarksdale, MS 38614
Phone (662) 624-2531

1024 Martin Luther King Dr
Marks, MS 38646
Phone (662) 326-3500

1022 Martin Luther King Dr
Marks, MS 38646
Phone (662) 326-3500

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	903083	MS	Yes

Addresses

Primary practice location

551 Medical Dr
Clarksdale, MS 38614-6733

Mailing address

216 Porter Dr
Clarksdale, MS 38614-9389
Phone (662) 418-9484

Other providers in Clarksdale, MS

All providers in Clarksdale, MS · Family Nurse Practitioner in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.