Individual provider Active NPI

Megan Sheila Johnson, AU.D.

  • Audiologist
  • Canandaigua, NY
National Provider Identifier
1881292654
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002999-01 Issued in NY
Practice address
229 Parrish Street
Suite 250
Canandaigua, NY 14424-1791
Phone
(585) 412-6967
Fax
(585) 398-1212
NPI assigned
Oct 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 14000063598 NY
Audiologist 231H00000X 002999-01 NY Primary
Audiologist 231H00000X 002999 NY

Addresses

Primary practice location

229 Parrish Street
Suite 250
Canandaigua, NY 14424-1791

Mailing address

229 Parrish Street
Suite 250
Canandaigua, NY 14424-1791
Phone (585) 412-6967

Other names 1

  • Ms. Megan Sheila Nowacki Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210510000090 NY Practitioner - Qualified Audiologist 5799191359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buffalo Medical Group, P.C.Group PAC ID 7012820301, 233 clinicians
Hearing Evaluation Services of Buffalo IncGroup PAC ID 8325096928, 19 clinicians

Practice addresses (Care Compare)

325 Essjay Rd
Williamsville, NY 14221-8243
Phone (716) 630-1000

4600 Main St
Suite 201
Amherst, NY 14226-4500
Phone (716) 833-4488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002999NYMDAcupuncturist
002999-01NYMDAudiologist
14000063598NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Medical Group, P.C. CurrentSince Feb 1, 2025 Accepting new patients
Hearing Evaluation Services of Buffalo, Inc. Audiologist CurrentSince Feb 1, 2025 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Feb 1, 2025 Accepting new patients
Life Sounds Audiology, Inc PastSince Mar 29, 2020 Accepting new patients

Locations

85 High St
Buffalo, NY 14203
Phone (716) 857-8623

4600 Main St
Ste 201
Snyder, NY 14226
Phone (716) 650-5088

425 Essjay Rd
Ste 170
Williamsville, NY 14221
Phone (716) 630-1219

325 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1102

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.

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1881292654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 PARRISH STREET",
            "address_2": "SUITE 250",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241791",
            "telephone_number": "585-412-6967",
            "fax_number": "585-398-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 PARRISH STREET",
            "address_2": "SUITE 250",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241791",
            "telephone_number": "585-412-6967",
            "fax_number": "585-398-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MEGAN",
        "middle_name": "SHEILA",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2024-06-11",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "14000063598",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002999-01",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "NOWACKI",
            "middle_name": "SHEILA",
            "prefix": "MS.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.