Active NPI
Megan Kristina Klarner, NP
- Nurse Practitioner
- Portage, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 168667-30
- Practice address
- 2817 New Pinery Rd
Portage, WI 53901-9240 - Phone
- (608) 742-4131
- Fax
- (602) 324-2249
- NPI assigned
- Oct 1, 2013
- Last updated
- Oct 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 168667-30 | WI | Primary |
Addresses
Primary practice location
2817 New Pinery Rd
Portage, WI 53901-9240
Mailing address
PO Box 708760
Sandy, UT 84070-8760
Phone (801) 352-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 261-4210
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168667-30 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Apogee Medical Group, Wisconsin, S.C | Current | Accepting new patients |
Locations
15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601
29980 Network Pl
Chicago, IL 60673
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Aspirus Divine Savior Hospital
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
dba Rainbow Community Care
- Community Based Hospice Care Agency
- Jefferson, WI
- NPI 1538134499
-
dba Aspirus Portage Clinic
- Rural Health Clinic/Center
- Portage, WI
- NPI 1386154417
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Watertown Regional Medical Center
- General Acute Care Hospital
- Watertown, WI
- NPI 1992776041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1902233216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 708760",
"city": "SANDY",
"state": "UT",
"postal_code": "840708760",
"telephone_number": "801-352-9500",
"fax_number": "801-352-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 NEW PINERY RD",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539019240",
"telephone_number": "608-742-4131",
"fax_number": "602-324-2249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLARNER",
"first_name": "MEGAN",
"middle_name": "KRISTINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-01",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "168667-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.