Megan Self, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

21793 Issued in TN

Practice address

1325 Eastmoreland Ave Ste 550
Memphis, TN 38104-7507

Phone

(901) 726-0843

Fax

(901) 278-2695

NPI assigned

Sep 26, 2016

Last updated

Sep 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Office of Internal Medicine, PCGroup PAC ID 5193860385, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: mself30975@mlh.direct-ci.com

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.

• Office of Internal Medicine, PC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1679776678
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1881143360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE STE 550",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047507",
            "telephone_number": "901-726-0843",
            "fax_number": "901-278-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE STE 550",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047507",
            "telephone_number": "901-726-0843",
            "fax_number": "901-278-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELF",
        "first_name": "MEGAN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "21793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Specialty Hospital - Memphis Inc
• Select Specialty Hospital - Memphis Inc (Select Specialty Hospital - Memphis East)
• Selected Motion Group LLC (Selected Motion Transportation Systems)
• Selene Integrative Care PLLC
• Andrea Marie Self, LBSW
• Zachary B Self, M.D.
• Dakota Sellers
• Dory Sellers, D.D.S.
• Wendy Jane Sellers
• Rekha Selvaraj

• Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.