Individual provider Active NPI

Meagan Lavin Henderson, PA-C

  • Physician Assistant
  • Ronan, MT
National Provider Identifier
1972052777
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MED-PAC-LIC-51495 Issued in MT
Practice address
126 6TH Ave SW
Ronan, MT 59864-2600
Phone
(406) 676-3600
Fax
(406) 676-3738
NPI assigned
Sep 22, 2016
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 MED-PAC-LIC-51495 MT Primary

Addresses

Primary practice location

126 6TH Ave SW
Ronan, MT 59864-2600

Mailing address

126 6TH Ave SW
Ronan, MT 59864-2600

Other practice location 1

801 N 29th St
Billings, MT 59101-0905
Phone (406) 238-2500

Other names 1

  • Ms. Meagan Lavin Flodeen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20161118001380 MT Practitioner - Physician Assistant 7012296817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1027 N 27TH St
Billings, MT 59101-0711
Phone (406) 237-5110

1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3913

16 N Miles Ave
Suite 101
Hardin, MT 59034-2356
Phone (406) 237-8270

2019 Broadwater Ave
Billings, MT 59102-4810
Phone (406) 237-8855

32 Wicks Lane
Billings, MT 59105-3810
Phone (406) 238-6010

32 Wicks LN
Billings, MT 59105-3810
Phone (406) 237-8300

602 Henry Chapple St
Billings, MT 59106-1874
Phone (406) 901-2440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PAC-LIC-51495MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Sep 3, 2022 Accepting new patients
St. Lukes Community Hospital CurrentSince Jul 24, 2017 Accepting new patients
St Lukes Community Hospital CurrentSince Jul 24, 2017 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Sep 3, 2022 Accepting new patients
SCL Health Medical Group - Billings LLC Past Accepting new patients

Locations

1027 N 27th St
Billings, MT 59101
Phone (406) 237-5110

2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200

32 Wicks Ln
Billings, MT 59105
Phone (406) 237-8300

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

331 S Washington Ave
Ste B
Laurel, MT 59044
Phone (406) 237-3160

107 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

126 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

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

Hospital & facility affiliations 2

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": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972052777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 6TH AVE SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598642600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 6TH AVE SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598642600",
            "telephone_number": "406-676-3600",
            "fax_number": "406-676-3738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 N 29th St",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591010905",
            "country_code": "US",
            "telephone_number": "406-238-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MEAGAN",
        "middle_name": "LAVIN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-51495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGAN",
            "last_name": "FLODEEN",
            "middle_name": "LAVIN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ronan, MT

Sources for this page

Verify at the official NPI Registry.