Individual provider Active NPI

Megan Sierra Slack, FNP-BC

  • Family Nurse Practitioner
  • Barboursville, WV
National Provider Identifier
1992285902
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
86057 Issued in WV
Practice address
6007 U.S. RT. 60. Suite 130
Barboursville, WV 25504
Phone
(304) 733-3333
Fax
(304) 733-3666
NPI assigned
Aug 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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 86057 WV Primary

Addresses

Primary practice location

6007 U.S. RT. 60. Suite 130
Barboursville, WV 25504

Mailing address

6007 U.S. RT. 60. Suite 130
Barboursville, WV 25504
Phone (304) 733-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20190610001673 WV Practitioner - Nurse Practitioner 1456684208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amy a Vaughan Dermatology PLLCGroup PAC ID 5890792485, 4 clinicians

Practice addresses (Care Compare)

6007 US Route 60 E
Suite 130
Barboursville, WV 25504-1046
Phone (304) 733-3333

Hospital & facility affiliations

  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007

Merit-based Incentive Payment System (MIPS)

Final score
90.35 of 100Reported as group
Quality
87.95
Promoting interoperability
100
Improvement activities
40
Cost
79.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86057WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amy a Vaughan Dermatology PLLC CurrentSince Jul 1, 2019 Accepting new patients

Locations

6007 US Route 60 E
Ste 130
Barboursville, WV 25504
Phone (304) 733-3333

Organizations & group practices 1

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": "1534636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1992285902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 U.S. RT. 60. SUITE 130",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "25504",
            "telephone_number": "304-733-3333",
            "fax_number": "304-733-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 U.S. RT. 60. SUITE 130",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "25504",
            "telephone_number": "304-733-3333",
            "fax_number": "304-733-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "MEGAN",
        "middle_name": "SIERRA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-19",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "86057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

Verify at the official NPI Registry.