Individual provider Active NPI

Megan Cullen, CRNP

  • Adult Health Nurse Practitioner
  • North Potomac, MD
National Provider Identifier
1962164376
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R194107 Issued in MD
Practice address
26 Owens Glen CT
North Potomac, MD 20878-2300
Phone
(301) 664-4209
NPI assigned
Oct 13, 2021
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R194107 MD Primary

Addresses

Primary practice location

26 Owens Glen CT
North Potomac, MD 20878-2300

Mailing address

4034 Crescent Rd
Ellicott City, MD 21042-5306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220111001665 MD Practitioner - Nurse Practitioner 5092107607 Reassigns benefits to 2 organizations
I20240905002097 DC Practitioner - Nurse Practitioner 5092107607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ikon Health, LLCGroup PAC ID 2365846953, 11 clinicians

Practice addresses (Care Compare)

26 Owens Glen CT
North Potomac, MD 20878-2300
Phone (301) 664-4209

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R194107MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ikon Health, LLC Adult Health CurrentSince Aug 19, 2024 Accepting new patients
Bellor Leichtling Saway & Schneider PC CurrentSince Nov 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5450 Knoll North Dr
Ste 180
Columbia, MD 21045
Phone (410) 730-7040

5450 Knoll North Dr
Ste 275
Columbia, MD 21045
Phone (410) 964-6139

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1962164376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 CRESCENT RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 OWENS GLEN CT",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782300",
            "telephone_number": "301-664-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "MEGAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R194107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Potomac, MD

Sources for this page

Verify at the official NPI Registry.