Individual provider Active NPI

Meagan Crary, FNP

  • Nurse Practitioner
  • Mankato, MN
National Provider Identifier
1811254022
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R 205190-5 Issued in MN
Practice address
1421 Premier Dr
Suite 100
Mankato, MN 56001-6076
Phone
(507) 207-2700
Fax
(507) 207-2799
NPI assigned
Apr 12, 2012
Last updated
Sep 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R 205190-5 MN Primary

Addresses

Primary practice location

1421 Premier Dr
Suite 100
Mankato, MN 56001-6076

Mailing address

1421 Premier Dr
Suite 100
Mankato, MN 56001-6076
Phone (507) 207-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141209000351 MN Practitioner - Nurse Practitioner 9335395458 Reassigns benefits to 1 organization
I20230510002280 WA Practitioner - Nurse Practitioner 9335395458 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
393MNMDPhysician Assistant
R 205190-5MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Children's Hospital CurrentSince May 2, 2023 Accepting new patients
Seattle Childrens Hospital CurrentSince May 2, 2023 Accepting new patients
Seattle Children's Hospital Past Accepting new patients
Anne-Marie Reed,D.O.,P.L.L.C. PastSince Dec 22, 2015 Accepting new patients

Locations

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

Interoperability endpoints

  • Direct secure messaging: mcrary221664@direct.seattlechildrens.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1811254022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 PREMIER DR",
            "address_2": "SUITE 100",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016076",
            "telephone_number": "507-207-2700",
            "fax_number": "507-207-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 PREMIER DR",
            "address_2": "SUITE 100",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016076",
            "telephone_number": "507-207-2700",
            "fax_number": "507-207-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRARY",
        "first_name": "MEAGAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R 205190-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.