Megan McKenzie Colburn, ARNP

Key facts

NPI

1922482074

Entity type

Individual (NPI type 1)

Primary specialty

Gerontology Nurse Practitioner 363LG0600X

License

AP60602941 (WA)

Practice address

150 Dennis St SW Ste a
Tumwater, WA 98501-5459

Phone

(360) 754-6367

Fax

(360) 754-6429

NPI assigned

Jul 17, 2015

Sex

Female

Sole proprietor

No

Organizations & group practices 5

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.

• Shoalwater Bay Tribe Primary Care Clinic/Center · Tokeland, WA · NPI 1063624740
  Medicare reassignment Care Compare group NPD WA
• Capital Medical Center Physicians LLC Family Medicine Physician · Olympia, WA · NPI 1629214283
  Medicare reassignment NPD WA
• Capital Medical Center Specialty Physicians, LLC Occupational Medicine Physician · Olympia, WA · NPI 1760785281
  Medicare reassignment NPD WA
• Tumwater Family Practice Clinic Family Medicine Physician · Tumwater, WA · NPI 1881638559
  Medicare reassignment NPD WA
• Capital Medical Center Physicians LLC Internal Medicine Physician · Montesano, WA · NPI 1710744792
  NPD

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grays Harbor Community Hospital General Acute Care Hospital · Aberdeen, WA · NPI 1154378859
  Care Compare affiliation Hospital
• Harbors Home Health & Hospice Home Health Agency · Hoquiam, WA · NPI 1699777276
  Care Compare affiliation Home health agency
• Pacific County Hospital District 2 Critical Access Hospital · South Bend, WA · NPI 1295708683
  Care Compare affiliation Hospital
• Providence Health & Services Washington General Acute Care Hospital · Centralia, WA · NPI 1376624981
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoalwater Bay Tribe (5 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harbors Home Health / Hospice Home health agency · Hoquiam, WA · CCN 507020
• Grays Harbor Community Hospital Hospital · Aberdeen, WA · CCN 500031
• Willapa Harbor Hospital Hospital · South Bend, WA · CCN 501303
• Providence Centralia Hospital Hospital · Centralia, WA · CCN 500019

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDHGAA

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 28, 2023.

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1922482074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DENNIS ST SW STE A",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015459",
            "telephone_number": "360-754-6367",
            "fax_number": "360-754-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DENNIS ST SW STE A",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015459",
            "telephone_number": "360-754-6367",
            "fax_number": "360-754-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBURN",
        "first_name": "MEGAN",
        "middle_name": "MCKENZIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "RN60314469",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60602941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

• Jason Mark Clevenstine
• Amy Louise Cline, BA, CDPT
• Mary Kathryn Coburn, CCC-SLP
• William Coburn
• Ellie Rose Cohen
• Randall Wayne Cole, D.C.
• Erin Rhonda Collins, DPT
• Sarah Jane Collyard, NLMP
• Connected Conversations PLLC
• Connie Grindol Healthcare LLC

All providers in Tumwater, WA · Gerontology Nurse Practitioner in Washington