MEGAN C MCCARTHY ACAGNP-BC
NPI 1083261911
Nurse Practitioner in Warren, NJ

Active since August 26, 2019PECOS Enrolled
73.6/100
CMS Quality Rating
18 PINEWOOD LN, WARREN, NJ 07059(908) 392-6860 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2026, Aug 26, 2019 (2 updates tracked since 2019).

About Megan C Mccarthy Acagnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEGAN C MCCARTHY ACAGNP-BC (NPI 1083261911) is an individual nurse practitioner in Warren, New Jersey, licensed in New Jersey (26NR19796700) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1083261911
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMEGAN C MCCARTHYCredential: ACAGNP-BC
Location Address18 PINEWOOD LNWarren, NJ 07059-6861
Mailing Address18 Pinewood LnWarren, NJ 07059-6861 · (908) 392-6860
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 26, 2019
Last NPPES UpdateMarch 20, 20262 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1083261911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NR19796700
Definition
(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.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 431582 (NY)
18 PINEWOOD LN, Warren, NJ 07059

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Megan C Mccarthy Acagnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153733001
PECOS Enrollment IDI20260518002297
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Megan Mccarthy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maternal & Fetal Medicine
110 REHILL AVE
Somerville, NJ 08876
  • Reassigned Medicare billing, New Jersey enrollment
  • 641 clinicians in this Medicare group
Medical Oncology
1275 YORK AVE
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 248 clinicians in this Medicare group
Hematology & Oncology
1275 YORK AVE
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 428 clinicians in this Medicare group
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07059 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.06
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Megan Mccarthy's NPI number?

The NPI number for Megan Mccarthy is 1083261911. It was assigned to this individual provider in the NPPES registry on August 26, 2019.

Where is Megan Mccarthy located?

Megan Mccarthy practices at 18 Pinewood Ln, Warren, NJ 07059. The listed phone number is (908) 392-6860.

What is Megan Mccarthy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Megan Mccarthy enrolled in Medicare?

Yes. Megan Mccarthy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Megan Mccarthy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Mccarthy reassigns Medicare benefits to 4 organizations: Rutgers Health-Rwj Scleroderma Program (Somerville, NJ), Mskcc Clinical Practice Plan (New York, NY), Memorial Hematology Lymphoma Group (New York, NY) and New York University (Boynton Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Megan Mccarthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Megan Mccarthy affiliated with any hospitals?

According to CMS data, Megan Mccarthy is affiliated with Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Megan Mccarthy was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.