Individual provider Active NPI

Megan Sharon Pohlman, PA-C

  • Physician Assistant
  • Mountain Lake, MN
National Provider Identifier
1902323405
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
308 8TH St N
Mountain Lake, MN 56159-1568
Phone
(507) 427-3332
NPI assigned
Aug 25, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MN Primary

Addresses

Primary practice location

308 8TH St N
Mountain Lake, MN 56159-1568

Mailing address

1052 6TH Ave N
Windom, MN 56101-1337
Phone (507) 221-4046

Other practice location 1

591 2nd Ave N
Windom, MN 56101-1927
Phone (507) 831-2223

Other names 1

  • Megan Sharon Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20180207001269 MN Practitioner - Physician Assistant 3274893516 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic CurrentSince Aug 18, 2022 Accepting new patients
Sanford Clinic CurrentSince Aug 18, 2022 Accepting new patients
Sanford Health Network CurrentSince Feb 17, 2018 Accepting new patients
Sanford Health Network CurrentSince Feb 17, 2018 Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

308 8th St N
Mountain Lake, MN 56159
Phone (507) 427-3332

450 Eastvold Ave
Ortonville, MN 56278
Phone (320) 839-2502

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

591 2nd Ave N
Windom, MN 56101
Phone (507) 831-2223

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902323405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 6TH AVE N",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011337",
            "telephone_number": "507-221-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 8TH ST N",
            "city": "MOUNTAIN LAKE",
            "state": "MN",
            "postal_code": "561591568",
            "telephone_number": "507-427-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "591 2nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Windom",
            "state": "MN",
            "postal_code": "561011927",
            "country_code": "US",
            "telephone_number": "507-831-2223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POHLMAN",
        "first_name": "MEGAN",
        "middle_name": "SHARON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "JOHNSON",
            "middle_name": "SHARON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain Lake, MN

Sources for this page

Verify at the official NPI Registry.