Individual provider Active NPI

Meagon Ann Oliver, NP

  • Family Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1992103667
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704223871 Issued in MI
Practice address
1900 Wealthy St SE Ste 200
Grand Rapids, MI 49506-2969
Phone
(616) 774-0276
NPI assigned
Dec 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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 4704223871 MI Primary

Addresses

Primary practice location

1900 Wealthy St SE Ste 200
Grand Rapids, MI 49506-2969

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Other names 1

  • Meagon Ann Rogers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150223000932 MI Practitioner - Nurse Practitioner 6800111592 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ih Physician Services PCGroup PAC ID 5991165458, 56 clinicians
Bennett Institute for Urogynecology and Incontinence PCGroup PAC ID 8729462619, 4 clinicians

Practice addresses (Care Compare)

Midland, MI 48642
Phone (989) 667-3440

770 Kenmoor Ave SE
Suite 301
Grand Rapids, MI 49546-8621
Phone (616) 290-1876

Hospital & facility affiliations

  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health/Saint Mary'S Medical Group CurrentSince Aug 29, 2019 Accepting new patients
Ih Physician Services PC CurrentSince Jan 6, 2025 Accepting new patients
Advantage Health Saint Mary'S Medical Group Nurse Practitioner CurrentSince Aug 29, 2019 Accepting new patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince May 7, 2024 Accepting new patients
Ih Physician Services, PC CurrentSince Jan 6, 2025 Accepting new patients
Bennett Institute for Urogynecology and Incontinence PC CurrentSince Oct 24, 2025 Accepting new patients
Metropolitan Hospital Past Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

39425 Garfield Rd
Ste 22A
Clinton Township, MI 48038
Phone (586) 649-3181

770 Kenmoor Ave SE
Ste 301
Grand Rapids, MI 49546
Phone (616) 252-4407

5060 Cascade Rd SE
Ste C-1
Grand Rapids, MI 49546
Phone (616) 255-9521

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

310 Lafayette Ave SE
Ste 400
Grand Rapids, MI 49503
Phone (616) 752-6525

1320 Waldo Ave
Ste 300
Midland, MI 48642
Phone (586) 649-3181

26211 Central Park Blvd
Ste 600
Southfield, MI 48076
Phone (248) 936-2075

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845

Organizations & group practices 7

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 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": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1992103667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WEALTHY ST SE STE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062969",
            "telephone_number": "616-774-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "MEAGON",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704223871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGON",
            "last_name": "ROGERS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.