NPIMap

Individual provider Active NPI

Megan Marie Fulkerson, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1932462348
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007489 Issued in KY
Practice address
811 E Parrish Ave
Owensboro, KY 42303-3258
Phone
(270) 688-3371
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007489 KY Primary

Addresses

Primary practice location

811 E Parrish Ave
Owensboro, KY 42303-3258

Mailing address

811 E Parrish Ave
Owensboro, KY 42303-3258

Other practice location 1

1213 North Main Strret
Beaver Dam, KY 42320
Phone (270) 274-4771

Other identifiers 2

IdentifierTypeStateIssuer
201082480MedicaidIN
7100205350MedicaidKY

Other names 1

  • Megan Dickens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20120802000449 KY Practitioner - Nurse Practitioner 8628224995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2211 Mayfair Dr
Suite 102
Owensboro, KY 42301-4569
Phone (270) 688-1351

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Family CurrentSince Jun 18, 2012 Accepting new patients
Owensboro Health Medical Group, Inc Family CurrentSince Jun 18, 2012 Accepting new patients
Ohio County Hospital Corporation CurrentSince Oct 1, 2020 Accepting new patients
Ohio County Hospital Corporation CurrentSince Oct 1, 2020 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients

Locations

1213 N Main St
Beaver Dam, KY 42320
Phone (270) 274-4771

1215 Old Main St
Hartford, KY 42347
Phone (270) 298-5401

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

1301 Pleasant Valley Rd
Ste 302
Owensboro, KY 42303
Phone (270) 417-7880

811 E Parrish Ave
Owensboro, KY 42303
Phone (270) 684-8611

Interoperability endpoints

  • Direct secure messaging: mfulkerson21416@direct.owensborohealth.org

Organizations & group practices 6

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 4

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1932462348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033258",
            "telephone_number": "270-688-3371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 North Main Strret",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "KY",
            "postal_code": "42320",
            "country_code": "US",
            "telephone_number": "270-274-4771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULKERSON",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201082480",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100205350",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "DICKENS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.