Individual provider Active NPI

Megan Marie Fortman, PA-C

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1861204869
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.009305RX Issued in OH
Practice address
7991 Beechmont Ave Ste C
Cincinnati, OH 45255-3191
Phone
(513) 401-5979
Fax
(833) 972-4769
NPI assigned
Jan 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.009305RX OH Primary
Physician Assistant 363A00000X PA3672 KY

Addresses

Primary practice location

7991 Beechmont Ave Ste C
Cincinnati, OH 45255-3191

Mailing address

467 Greensboro Dr
Centerville, OH 45459-2943
Phone (937) 710-3171

Other practice location 1

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

Other practice location 2

467 Greensboro Dr
Centerville, OH 45459-2943
Phone (937) 710-3171

Other identifiers 3

IdentifierTypeStateIssuer
300112389MedicaidIN
0125548MedicaidOH
7101062000MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address megan.fortman.1@16521.direct.athenahealth.com Commonwealth Pain Associates, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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
I20250429000642 OH Practitioner - Physician Assistant 9739605171 Reassigns benefits to 1 organization
I20250529000504 KY Practitioner - Physician Assistant 9739605171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

110 Diagnostic Dr
Frankfort, KY 40601-6557
Phone (502) 855-7200

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

2041 Anderson Ferry Rd
Cincinnati, OH 45238-3325
Phone (513) 401-5968

7991 Beechmont Ave
Suite C
Cincinnati, OH 45255-3191
Phone (502) 855-7200

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA3672KYMDPhysician Assistant
TC045KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates, PLLC Physician Assistant CurrentSince Jun 1, 2025 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

320 Thomas More Pkwy
Ste 202
Crestview Hills, KY 41017
Phone (513) 624-7246

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

7991 Beechmont Ave
Ste C
Cincinnati, OH 45255
Phone (513) 401-5968

2041 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 401-5968

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.

Hospital & facility affiliations 3

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": "1737763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1861204869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 GREENSBORO DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592943",
            "telephone_number": "937-710-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7991 BEECHMONT AVE STE C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553191",
            "telephone_number": "513-401-5979",
            "fax_number": "833-972-4769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Executive Park",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074201",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "467 Greensboro Dr",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454592943",
            "country_code": "US",
            "telephone_number": "937-710-3171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTMAN",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-25",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.009305RX",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300112389",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125548",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101062000",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "megan.fortman.1@16521.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Commonwealth Pain Associates, PLLC",
            "address_1": "7991 Beechmont Ave Ste C",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452553191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.