Individual provider Active NPI

Megan Peake Durrett, APRN

  • Family Nurse Practitioner
  • Campbellsville, KY
National Provider Identifier
1972193589
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015358 Issued in KY
Practice address
101 Winston Way
Campbellsville, KY 42718-4962
Phone
(270) 465-9400
Fax
(270) 469-4893
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 3015358 KY Primary

Addresses

Primary practice location

101 Winston Way
Campbellsville, KY 42718-4962

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 864-1472

Other practice location 1

67 Kingswood Dr
Campbellsville, KY 42718-9647
Phone (270) 789-6087

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL trhosp.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210127002564 KY Practitioner - Nurse Practitioner 5395159669 Reassigns benefits to 2 organizations

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
Cumberland Family Medical Center IncGroup PAC ID 6305947789, 125 clinicians

Practice addresses (Care Compare)

360 Keen St
Burkesville, KY 42717-7915
Phone (270) 864-2889

Hospital & facility affiliations

  • Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3015358KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Regional Medical Group, LLC Family CurrentSince Oct 27, 2020 Accepting new patients
Taylor Regional Medical Group LLC Family CurrentSince Oct 27, 2020 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Jul 18, 2022 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Jul 18, 2022 Accepting new patients
Cumberland Family Medical Center Inc Past Accepting new patients

Locations

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

101 Winston Way
Lot C
Campbellsville, KY 42718
Phone (270) 465-9400

67 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-2116

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.

Hospital & facility affiliations 1

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1972193589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-864-1472",
            "fax_number": "270-864-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WINSTON WAY",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427184962",
            "telephone_number": "270-465-9400",
            "fax_number": "270-469-4893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Kingswood Dr",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427189647",
            "country_code": "US",
            "telephone_number": "270-789-6087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURRETT",
        "first_name": "MEGAN",
        "middle_name": "PEAKE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "trhosp.org",
            "affiliation": "N",
            "address_1": "67 Kingswood Dr",
            "city": "Campbellsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427189647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.