Individual provider Active NPI

Megan Elizabeth Kalil, APRN-NP

  • Pediatric Nurse Practitioner
  • Elkhorn, NE
National Provider Identifier
1790205367
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
112234 Issued in NE
Practice address
18018 Burke St
Elkhorn, NE 68022-4417
Phone
(402) 573-7337
Fax
(402) 614-2314
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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 112234 NE Primary

Addresses

Primary practice location

18018 Burke St
Elkhorn, NE 68022-4417

Mailing address

17613 Erskine St
Omaha, NE 68116-2764
Phone (402) 881-1614

Other names 1

  • Megan Elizabeth Kruse Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
112234NEMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Village Pointe Pediatrics, PC Past Accepting new patients

Organizations & group practices 1

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": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1790205367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17613 ERSKINE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162764",
            "telephone_number": "402-881-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18018 BURKE ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224417",
            "telephone_number": "402-573-7337",
            "fax_number": "402-614-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIL",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NE",
            "license": "112234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "KRUSE",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.