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MEGAN KATHLEEN SIMPSON DO
NPI 1174028062
Pediatrics - Pediatric Cardiology in Milwaukee, WI

Active since March 24, 2018PECOS EnrolledAccepts Medicare Assignment
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226(847) 372-7850 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 11, 2024, Mar 24, 2018 (2 updates tracked since 2018).

About Megan Kathleen Simpson Do NPPES

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

MEGAN KATHLEEN SIMPSON DO (NPI 1174028062) is an individual pediatric cardiology provider in Milwaukee, Wisconsin, licensed in Wisconsin (8143421) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Childrens Hospital Of Wisconsin, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2018).

NPPES Registry Identity

NPI1174028062
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameMEGAN KATHLEEN SIMPSONCredential: DO
Location Address9000 W WISCONSIN AVEMilwaukee, WI 53226-4874
Mailing Address451 Oakdale AveGlencoe, IL 60022-2112 · (847) 372-7850
Phone(847) 372-7850
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2018
Enumeration DateMarch 24, 2018
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1174028062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in WI · 8143421
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
9000 W WISCONSIN AVE, Milwaukee, WI 53226
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan and more.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

Megan Kathleen Simpson Do 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 ID446753214
PECOS Enrollment IDI20250910000316
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

2

Medicare enrollment records show Megan Simpson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Specialty Group, Inc.
Same address
Pediatrics
9000 W WISCONSIN AVE
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Childrens Specialty Group Inc
  • 424 clinicians in this Medicare group
NPI 1942970405 (414) 266-2000
Bellin Memorial Hospital Inc
100 mi
Orthopaedic Surgery
1630 COMMANCHE AVE
Green Bay, WI 54313
  • Reassigned Medicare billing, Michigan enrollment
  • 167 clinicians in this Medicare group
NPI 1114398849 (920) 593-5555

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.

Childrens Hospital Of Wisconsin

Childrens · Milwaukee, WI
OwnershipVoluntary non-profit - Other
CMS Certification Number523300
Location9000 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services

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.

MS. LESLIE L. TALBERT NP
Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-3360
SARAH MARIE RUMLER DO
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4170
ALISON COREN
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6750
BRANDON PALMER M.D.
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 337-7050
AIDAN JAMES REID DO
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
KYNDAL LYN HETTICH RD, CSP, CD
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-5938
CARISA MARIE DIMATTINA LCSW
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 581-4004
BREYA LOGAN WHITEFIELD PHD
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000

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 Simpson's NPI number?

The NPI number for Megan Simpson is 1174028062. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Where is Megan Simpson located?

Megan Simpson practices at 9000 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (847) 372-7850.

What is Megan Simpson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Megan Simpson enrolled in Medicare?

Yes. Megan Simpson 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 Megan Simpson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Simpson reassigns Medicare benefits to 2 organizations: Children's Specialty Group, Inc. (Milwaukee, WI) and Bellin Memorial Hospital Inc (Green Bay, WI). 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 Simpson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Simpson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource (Common Ground Healthcare) and 2 other insurers list Megan Simpson 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 Megan Simpson affiliated with any hospitals?

According to CMS data, Megan Simpson is affiliated with Childrens Hospital Of Wisconsin.

When was this NPI record last updated?

The NPPES record for Megan Simpson was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.