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MEAGHAN MCGUIRE NURSE PRACTITIONER
NPI 1093160889
Nurse Practitioner - Adult Health in Doylestown, PA

Active since April 28, 2016PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
599 W STATE ST STE 302, DOYLESTOWN, PA 18901(215) 918-5960(215) 918-5969 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Meaghan Mcguire Nurse Practitioner NPPES

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

MEAGHAN MCGUIRE NURSE PRACTITIONER (NPI 1093160889) is an individual adult health provider in Doylestown, Pennsylvania, licensed in Pennsylvania (SP015922) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Doylestown Hospital, and maintains a secondary practice location in Warrington.

NPPES Registry Identity

NPI1093160889
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMEAGHAN MCGUIRECredential: NURSE PRACTITIONER
Location Address599 W STATE ST STE 302Doylestown, PA 18901-2567
Mailing AddressPo Box 829641Philadelphia, PA 19182-9641 · (267) 370-5296 · Fax (215) 230-3725
Phone(215) 918-5960
Fax(215) 918-5969
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 28, 2016
Last NPPES UpdateNovember 8, 2023
NPPES CertifiedNovember 8, 2023
✔ NPI 1093160889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in PA · SP015922
599 W STATE ST STE 302, Doylestown, PA 18901
Open in Google Maps ↗

Secondary Practice Location 1

Location 1847 Easton Rd Ste 2700Warrington, PA 18976-2909 · Phone (215) 918-5960 · Fax (215) 918-5969

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Meaghan Mcguire Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951693837
PECOS Enrollment IDI20160713001965
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

5

Medicare enrollment records show Meaghan Mcguire reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Via Affiliates
0.1 mi
Anatomic Pathology & Clinical Pathology
595 W STATE ST
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 268 clinicians in this Medicare group
NPI 1194557637 (215) 345-2625
Clinical Specialty Associates
0.2 mi
Obstetrics & Gynecology
102 PROGRESS DR STE 202
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 192 clinicians in this Medicare group
NPI 1306734934 (215) 230-5296
Memorial Medical Consultation Group
70 mi
Internal Medicine
1275 YORK AVE
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 315 clinicians in this Medicare group
NPI 1053382523 (646) 227-3813
University Of Pittsburgh Physicians
246 mi
Internal Medicine
3436 WILLIAM PENN HWY, SUITE 166
Pittsburgh, PA 15235
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1407985674 (412) 823-6222
Oncology Hematology Association Inc
253 mi
Hematology & Oncology
5115 CENTRE AVE, 3RD FLOOR
Pittsburgh, PA 15232
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 202 clinicians in this Medicare group
NPI 1861469223 (412) 235-1020

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.

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18901 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.76
Improvement Activities40

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIA AFFILIATES
Surgery (Vascular Surgery)
599 W STATE ST STE 302
DOYLESTOWN, PA 18901
Bucks County (215) 230-6982
EMILY GARRETSON COOK APN
Nurse Practitioner (Family)
599 W STATE ST STE 302
DOYLESTOWN, PA 18901
Bucks County (152) 230-6982
ANDREW JOHN LAMBOUR MD
Surgery
599 W STATE ST STE 302
DOYLESTOWN, PA 18901
Bucks County (215) 348-7195
PAUL J FOLEY III MD
Surgery (Vascular Surgery)
599 W STATE ST STE 302
DOYLESTOWN, PA 18901
Bucks County (215) 230-6982
DONNA MARIE ANGOTTI MD
Surgery
599 W STATE ST STE 302
DOYLESTOWN, PA 18901
Bucks County (215) 918-5960
DR. JUSTIN PHILIP
Surgery
599 W STATE ST STE 302
DOYLESTOWN, PA 18901
Bucks County (215) 348-7195
DR. JEREMY MICHAEL LINSON M.D.
Surgery
599 W STATE ST STE 302
DOYLESTOWN, PA 18901
Bucks County (215) 348-7195
ALECIA WILSON
Nurse Practitioner (Family)
599 W STATE ST STE 302
DOYLESTOWN, PA 18901
Bucks County (152) 306-9822

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 Meaghan Mcguire's NPI number?

The NPI number for Meaghan Mcguire is 1093160889. It was assigned to this individual provider in the NPPES registry on April 28, 2016.

Where is Meaghan Mcguire located?

Meaghan Mcguire practices at 599 W State St Ste 302, Doylestown, PA 18901. The listed phone number is (215) 918-5960.

What is Meaghan Mcguire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Meaghan Mcguire enrolled in Medicare?

Yes. Meaghan Mcguire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Meaghan Mcguire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Meaghan Mcguire reassigns Medicare benefits to 5 organizations: Via Affiliates (Doylestown, PA), Clinical Specialty Associates (Doylestown, PA), Memorial Medical Consultation Group (New York, NY), University Of Pittsburgh Physicians (Pittsburgh, PA) and Oncology Hematology Association Inc (Pittsburgh, PA). 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 Meaghan Mcguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Meaghan Mcguire accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Meaghan Mcguire as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Meaghan Mcguire affiliated with any hospitals?

According to CMS data, Meaghan Mcguire is affiliated with Doylestown Hospital.

When was this NPI record last updated?

The NPPES record for Meaghan Mcguire was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.