Individual provider Active NPI

Megan Theresa Poell, APRN

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1881167682
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-78592 Issued in KS
Practice address
3715 N Oliver St
Wichita, KS 67220-3404
Phone
(316) 942-4519
Fax
(316) 942-4655
NPI assigned
Jan 4, 2019
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 13-113980 KS
Nurse Practitioner 363L00000X 53-78592 KS Primary

Addresses

Primary practice location

3715 N Oliver St
Wichita, KS 67220-3404

Mailing address

3715 N Oliver St
Wichita, KS 67220-3404
Phone (316) 942-4519

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidKS

Other names 1

  • Megan Theresa Bishop Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20190409000856 KS Practitioner - Nurse Practitioner 2567703168 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

102 W Botkin St
Wellington, KS 67152-2302
Phone (620) 326-7437

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13-113980KSMDRegistered Nurse
53-78592KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Medicine Associates, LLC CurrentSince Aug 15, 2022 Accepting new patients
Complexcare Medical Group Kansas M LLC CurrentSince Jan 18, 2026 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Jun 26, 2025 Accepting new patients

Locations

605 E Melvin St
Arma, KS 66712
Phone (620) 347-4103

210 N Plaza Dr
Lansing, KS 66043
Phone (913) 727-1284

102 W Botkin St
Wellington, KS 67152
Phone (620) 326-7436

3715 N Oliver St
Wichita, KS 67220
Phone (316) 440-1276

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1881167682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 N OLIVER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203404",
            "telephone_number": "316-942-4519",
            "fax_number": "316-942-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 N OLIVER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203404",
            "telephone_number": "316-942-4519",
            "fax_number": "316-942-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POELL",
        "first_name": "MEGAN",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-113980",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-78592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "BISHOP",
            "middle_name": "THERESA",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.