NPIMap

Individual provider Active NPI

Megan Shucavage, CRNP

  • Nurse Practitioner
  • Lehighton, PA
National Provider Identifier
1881733319
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP008661 Issued in PA
Practice address
1241 Blakeslee Boulevard Dr E Ste 3
Lehighton, PA 18235-2401
Phone
(570) 645-1020
Fax
(570) 645-1021
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP008661 PA Primary

Addresses

Primary practice location

1241 Blakeslee Boulevard Dr E Ste 3
Lehighton, PA 18235-2401

Mailing address

1241 Blakeslee Boulevard Dr E Ste 3
Lehighton, PA 18235-2401
Phone (570) 645-1020

Other identifiers 2

IdentifierTypeStateIssuer
1995717OtherPAHIGHMARK BLUE SHIELD
50085666OtherCAPITAL BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071128000395 PA Practitioner - Nurse Practitioner 4486743465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1241 Blakeslee Blvd Dr E
3 St Lukes Cardiology Associates
Lehighton, PA 18235-2401
Phone (570) 386-6900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP008661PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Nov 23, 2020 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Nov 23, 2020 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

1510 Fawn Valley Dr
Brodheadsville, PA 18322
Phone (570) 402-0700

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1241 Blakeslee Boulevard Dr E
Ste 3
Lehighton, PA 18235
Phone (570) 386-6900

17 W Broad St
Unit 2
Tamaqua, PA 18252
Phone (570) 668-5650

Interoperability endpoints

  • Direct secure messaging: megan.shucavage@slpg.direct-sluhn.org

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 9

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1881733319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 BLAKESLEE BOULEVARD DR E STE 3",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352401",
            "telephone_number": "570-645-1020",
            "fax_number": "570-645-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 BLAKESLEE BOULEVARD DR E STE 3",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352401",
            "telephone_number": "570-645-1020",
            "fax_number": "570-645-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUCAVAGE",
        "first_name": "MEGAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP008661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1995717",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50085666",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.