Active NPI
Megan Leilani McClamroch
- Family Nurse Practitioner
- Crawfordsville, IN
National Provider Identifier
1952952939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71010134A
- Practice address
- 1630 Lafayette Rd Ste 200
Crawfordsville, IN 47933-1092 - Phone
- (765) 359-2230
- Fax
- (765) 359-2236
- NPI assigned
- Sep 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 28193277A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71010134A | IN | Primary |
Addresses
Primary practice location
1630 Lafayette Rd Ste 200
Crawfordsville, IN 47933-1092
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
440 W Songer Ln
Veedersburg, IN 47987-8547
Phone (765) 762-4180
Other practice location 2
1716 Hartford St
Lafayette, IN 47904-2173
Phone (765) 742-1567
Other names 1
- Megan Leilani Blake
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1630 Lafayette Rd
Suite 200
Crawfordsville, IN 47933-1092
Phone (765) 359-2230
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28193277A | IN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Riggs Community Health Center Inc | Past | Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1630 Lafayette Rd
Ste 200
Crawfordsvlle, IN 47933
Phone (765) 359-2230
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- Federally Qualified Health Center (FQHC)
- Lafayette, IN
- NPI 1386876233
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crawfordsville, IN
- NPI 1588774558
-
dba Franciscan St. Elizabeth Health
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
-
dba Franciscan Home Care
- Home Health Agency
- Lafayette, IN
- NPI 1619970134
-
dba Witham Health Services
- General Acute Care Hospital
- Lebanon, IN
- NPI 1699757401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1952952939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 LAFAYETTE RD STE 200",
"city": "CRAWFORDSVILLE",
"state": "IN",
"postal_code": "479331092",
"telephone_number": "765-359-2230",
"fax_number": "765-359-2236"
}
],
"practiceLocations": [
{
"address_1": "440 W Songer Ln",
"address_purpose": "LOCATION",
"city": "Veedersburg",
"state": "IN",
"postal_code": "479878547",
"country_code": "US",
"telephone_number": "765-762-4180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1716 Hartford St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479042173",
"country_code": "US",
"telephone_number": "765-742-1567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLAMROCH",
"first_name": "MEGAN",
"middle_name": "LEILANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-22",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "28193277A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71010134A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "BLAKE",
"middle_name": "LEILANI",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Crawfordsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.