Individual provider Active NPI

Meagan Wallace Puckett, NP

  • Family Nurse Practitioner
  • Garner, NC
National Provider Identifier
1851707962
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006975 Issued in NC
Practice address
5680 NC Highway 42 W
Garner, NC 27529-8120
Phone
(191) 977-2895
NPI assigned
Jul 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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 5006975 NC Primary

Addresses

Primary practice location

5680 NC Highway 42 W
Garner, NC 27529-8120

Mailing address

5680 NC Highway 42 W
Garner, NC 27529-8120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140929001655 NC Practitioner - Nurse Practitioner 0749400513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke University Affiliated Physicians, Inc.Group PAC ID 3779489588, 452 clinicians

Practice addresses (Care Compare)

5716 Fayetteville Rd
Durham, NC 27713-9661
Phone (919) 572-1868

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5006975NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Dec 17, 2017 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Aug 18, 2014 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Dec 17, 2017 Accepting new patients

Locations

100 Duke Health Cary Pl
Ste 110
Cary, NC 27519
Phone (919) 385-4855

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

411 W Chapel Hill St
Ste 1100
Durham, NC 27701

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

1821 Hillandale Rd
Ste 25B
Durham, NC 27705
Phone (919) 613-9105

1821 Hillandale Rd
Ste 25A
Durham, NC 27705
Phone (919) 620-7300

267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 471-9622

401 Irving Pkwy
Ste 110
Holly Springs, NC 27540
Phone (919) 385-3022

162 Legacy Oaks Dr
Knightdale, NC 27545
Phone (919) 373-1800

7021 Harps Mill Rd
Raleigh, NC 27615
Phone (919) 823-5446

10211 Alm St
Raleigh, NC 27617
Phone (919) 206-4868

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

3000 Rogers Rd
Ste 100
Wake Forest, NC 27587
Phone (919) 367-1729

Interoperability endpoints

  • Direct secure messaging: mpuckett390389@direct.medicine.duke.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1851707962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 NC HIGHWAY 42 W",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 NC HIGHWAY 42 W",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298120",
            "telephone_number": "191-977-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "MEAGAN",
        "middle_name": "WALLACE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.