MEGAN DANIELLE ABEL ANP-BC
NPI 1033574983
Nurse Practitioner in Louisville, KY
NPI Status: Active since December 19, 2015
Contact Information
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
Phone: (502) 456-6200
Fax: (502) 456-6655
- NPI Profile Information
- Primary Taxonomy
- Secondary Taxonomies
- Insurance Plans Accepted
- Secondary Locations
- Medicare Participation & PECOS Status
- Areas of Expertise
- Durable Medical Equipment
- Physician Visit Costs
- Quality Reporting
- NPI Validation
- Other Providers Same Location
- Frequently Asked Questions
- Individual
- Female
- Years of Experience 12
- Nurse Practitioner
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About MEGAN ABEL
This page provides the complete NPI Profile along with additional information for Megan Abel, a provider established in Louisville, Kentucky with a medical specialization in Nurse Practitioner and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1033574983 assigned on December 2015. The practitioner's primary taxonomy code is 363L00000X with license number 3010400 (KY). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1033574983
- Provider Name
- MEGAN DANIELLE ABEL ANP-BC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6200 DUTCHMANS LN LOUISVILLE, KY 40205
- Location Phone
- (502) 456-6200
- Location Fax
- (502) 456-6655
- Mailing Address
- 6200 DUTCHMANS LN LOUISVILLE, KY 40205
- Mailing Phone
- (502) 456-6200
- Mailing Fax
- (502) 456-6655
- Medical School Name
- OTHER
- Graduation Year
- 2014
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-19-2015
- Last Update Date
- 01-25-2023
- Code Navigator
A nurse practitioner (NP) like Megan Abel is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 502 Hausfeldt Ln
New Albany, IN 47150
(502) 456-6200
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 3010400
- License State
- KY
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 71006070A (IN) |
| 2 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 71006070A (IN) |
| 3 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 3010400 (KY) |
| 4 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 28180181A (IN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201377850 | MEDICAID (05) | IN | |
| CS1805300401 | OTHER (01) | CARESOURCE ID | |
| 000001010423 | OTHER (01) | ANTHEM PIN | |
| 4879423 | OTHER (01) | AETNA PIN | |
| 7100479850 | MEDICAID (05) | KY |
Medicare Participation & PECOS Enrollment Status
Megan Abel is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Megan Abel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6507162823
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20160314001010, I20161215001645
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Wheelchairs (DD021N)
Manual wheelchair accessory, anti-tipping device, each (HCPCS:E0971)
2 DME suppliers used 13 Medicare Claims 26 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 15 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up nursing facility visit per day, typically 25 minutes
Initial hospital inpatient care per day, typically 70 minutes
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 37 times for 20 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 13 times for 11 patientsA follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
This service was performed 15 times for 15 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 28 times for 28 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.56 for a new patient copayment and $23.48 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 40205 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.24
- Minimum New Patient Price $52.76
- Maximum New Patient Price $162.27
- Average New Patient Copayment $20.56
- Minimum New Patient Copayment $13.19
- Maximum New Patient Copayment $40.56
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.94
- Minimum Established Patient Price $16.53
- Maximum Established Patient Price $131.99
- Average Established Patient Copayment $23.48
- Minimum Established Patient Copayment $4.13
- Maximum Established Patient Copayment $32.99
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| e-Prescribing | 97% | 4199 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 50% | 214 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Patient-Specific Education | 4% | 1177 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 53% | 1177 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 11% | 1177 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 5 | 7 | 4 | 9 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 10 | 7 | 8 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 1 + 0 + 7 + 8 + 9 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1033574983 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
EVELYN MARRETT BECKMAN FNP
Nurse Practitioner
(Family)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
MATTHEW AARON SCHLIEVERT FNP
Nurse Practitioner
(Family)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
MS. ANNA NADINE CARROLL LPC
Counselor
(Pastoral)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
RITA BREWER APRN
Nurse Practitioner
(Family)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
MR. WADE MICHAEL MCGUIRE LPCC
Counselor
(Professional)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
DR. STEPHANIE ANN KOHL DNP, APRN, FNP-C
Nurse Practitioner
(Family)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
SHANA CASSADY ARNP
Nurse Practitioner
(Family)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
MR. JOSEPH ANTON FERRY LPAT
Art Therapist
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
BRANDY MICHELLE HENDERSON ARNP
Nurse Practitioner
(Family)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
NEENA MARY JAMES MD
Internal Medicine
(Hospice and Palliative Medicine)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
ANGELA EILEEN CLAYPOOL APRN
Nurse Practitioner
(Family)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
MS. ERIN ANN GUTHRIE LCSW
Social Worker
(Clinical)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
ROBERT CORY LUCAS M.D.
Internal Medicine
(Hospice and Palliative Medicine)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
LORI ANNE EARNSHAW MD
Internal Medicine
(Hospice and Palliative Medicine)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
EMILEE RUXER HARRIS AGACNP
Nurse Practitioner
(Acute Care)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
MS. MELISSE NICOLE FERREE GLADWELL FNP-C
Nurse Practitioner
(Family)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
KAREN WOOD PALMER DO
Internal Medicine
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
WILLIAM JOSEPH TRAVIS M.D.
Internal Medicine
(Hospice and Palliative Medicine)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
TYLER SMITH MCQUEEN M.D.
Internal Medicine
(Hospice and Palliative Medicine)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
LYNN ALISON POWELL LCSW
Social Worker
(Clinical)
6200 DUTCHMANS LN
LOUISVILLE, KY
ZIP 40205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033574983, enumerated as an "individual" on December 19, 2015.
The provider is located at 6200 DUTCHMANS LN LOUISVILLE, KY 40205 and the phone number is (502) 456-6200.
Nurse Practitioner with taxonomy code 363L00000X.
The provider might be accepting Accepts: Medicare, Medicaid, CareSource, Anthem Blue Cross. Please consult your insurance carrier or call the provider to verify.
