Megan Anastasia Grimsley, CNP
Individual provider Active NPI Nurse Practitioner · New London, MN
NPI 1982181061 · NPPES record last updated Jan 6, 2020
Key facts
- NPI
- 1982181061
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 6003 (MN)
- Practice address
- 600 Peterson Pkwy
New London, MN 56273-7823 - Phone
- (320) 354-2222
- NPI assigned
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of North Dakota School of Medicine, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
- CCM Health
Practice addresses (Care Compare)
824 N 11TH St
Montevideo, MN 56265-1629
Phone (320) 269-8877
Hospital & facility affiliations
- Chippewa County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190122003430 | MN | Practitioner - Nurse Practitioner | 6002153533 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6003 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCM Health | Current |
Accepting new patients | |
| Glacial Ridge Hospital District | Current |
Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| CCM Health | Current |
Accepting new patients | |
| Glacial Ridge Hospital District | Current |
Accepting new patients |
Locations
10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157
417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157
824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/glac-1755385c
- mgrimsley495152@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 6003 | MN | Yes |
Addresses
Primary practice location
600 Peterson Pkwy
New London, MN 56273-7823
Mailing address
10 4TH Ave SE
Glenwood, MN 56334-1820
Phone (320) 634-5157
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CNP6003 | Other | MN | MN BOARD OF NURSING APRN LICENSE |
Other names
- Megan Anastasia Kent
Other providers in New London, MN
- City of New London
- Coborns Inc
- Candace Jo Eck
- Fischer Laser Eye Center, LLC
- Nicholas Goelz
- Grace Catherine Illies
- Independent School District 345
- Katelyn Corine Krueger
- Krupke Chiropractic PLLC
- Brett Nathan Krupke
All providers in New London, MN · Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.