MEGAN JOY NIBLEY PA
NPI 1124192372
Physician Assistant in Scottsdale, AZ

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
78.76/100
CMS Quality Rating
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2026, Nov 18, 2024 (2 updates tracked since 2024).

About Megan Joy Nibley Pa NPPES

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

MEGAN JOY NIBLEY PA (NPI 1124192372) is an individual physician assistant in Scottsdale, Arizona, licensed in Arizona (3587) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1124192372
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMEGAN JOY NIBLEYCredential: PA
Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5499
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 20, 2006
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
NPI 1124192372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 3587
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 3587 (AZ)
13400 E SHEA BLVD, Scottsdale, AZ 85259

Secondary Practice Location 1

Location 11111 E McDowell RdPhoenix, AZ 85006-2612 · Phone (602) 839-5097 · Fax (602) 839-3075

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Megan Joy Nibley Pa 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 ID7810090131
PECOS Enrollment IDI20070307000133
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
417 services78 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
56 services32 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
52 services31 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
48 services46 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
39 services20 patients
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506
This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85259 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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.

78.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.83
Promoting Interoperability69
Improvement Activities40
Cost62.8

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Hematology & Oncology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Internal Medicine (Critical Care Medicine)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Internal Medicine (Pulmonary Disease)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Urology
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259

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 Nibley's NPI number?

The NPI number for Megan Nibley is 1124192372. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Megan Nibley located?

Megan Nibley practices at 13400 E Shea Blvd, Scottsdale, AZ 85259. The listed phone number is (480) 301-8000.

What is Megan Nibley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Megan Nibley enrolled in Medicare?

Yes. Megan Nibley 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.

What insurance does Megan Nibley accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Megan Nibley 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.

When was this NPI record last updated?

The NPPES record for Megan Nibley was last updated on January 6, 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.