Individual provider Active NPI

Megan D Collins, APRN

  • Family Nurse Practitioner
  • Smiths Grove, KY
National Provider Identifier
1831818038
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018126 Issued in KY
Practice address
121 College St
Smiths Grove, KY 42171-8239
Phone
(270) 563-3000
Fax
(270) 783-3783
NPI assigned
Aug 23, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3018126 KY Primary

Addresses

Primary practice location

121 College St
Smiths Grove, KY 42171-8239

Mailing address

201 Park St
Bowling Green, KY 42101-1708
Phone (270) 563-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220919002292 KY Practitioner - Nurse Practitioner 8820473457 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3018126KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC CurrentSince Feb 1, 2024 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Feb 1, 2024 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Feb 1, 2024 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Feb 1, 2024 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations

401 Main St
Benton, KY 42025
Phone (270) 906-0369

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

230 N Green St
Henderson, KY 42420
Phone (270) 854-3196

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

1151 W 9th St
Russellville, KY 42276
Phone (270) 847-4033

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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1831818038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011708",
            "telephone_number": "270-563-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 COLLEGE ST",
            "city": "SMITHS GROVE",
            "state": "KY",
            "postal_code": "421718239",
            "telephone_number": "270-563-3000",
            "fax_number": "270-783-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MEGAN",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smiths Grove, KY

Sources for this page

Verify at the official NPI Registry.