Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MEGAN LARSEN MENTZER FNP-C
NPI 1205591948
Nurse Practitioner - Family in Cumming, GA

Q: What is Megan Mentzer's NPI number?

The NPI number for Megan Mentzer is 1205591948. It was assigned to this individual provider in the NPPES registry on November 8, 2021.

Q: What is Megan Mentzer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Megan Mentzer was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.

Active since November 08, 2021PECOS Enrolled

1400 NORTHSIDE FORSYTH DR STE 200, CUMMING, GA 30041(770) 898-8388(770) 898-8389 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2024, Nov 9, 2021 (2 updates tracked since 2021).

On this page

About Megan Larsen Mentzer Fnp-c NPPES

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

MEGAN LARSEN MENTZER FNP-C (NPI 1205591948) is an individual family provider in Cumming, Georgia, licensed in Georgia (RN222482) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205591948

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMEGAN LARSEN MENTZERCredential: FNP-C

Location Address1400 NORTHSIDE FORSYTH DR STE 200Cumming, GA 30041-7668

Mailing Address1400 Northside Forsyth Dr Ste 200Cumming, GA 30041-7668 · (770) 898-8388 · Fax (770) 898-8389

Phone(770) 898-8388

Fax(770) 898-8389

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 8, 2021

Last NPPES UpdateOctober 23, 20262 updates tracked since enumeration

NPPES CertifiedOctober 23, 2026

✔ NPI 1205591948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN222482

1400 NORTHSIDE FORSYTH DR STE 200, Cumming, GA 30041

Open in Google Maps ↗

Other Identifiers 1

Other071762605GA · Drivers License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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 Larsen Mentzer Fnp-c 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 ID4183014194

PECOS Enrollment IDI20211207000791

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 Reassignment

Medicare enrollment records show Megan Mentzer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hemen Padhiar MD, PC

Same address

Family Medicine

1400 NORTHSIDE FORSYTH DR STE 200
Cumming, GA 30041

Reassigned Medicare billing, Georgia enrollment
4 clinicians in this Medicare group

NPI 1881460236 (770) 898-8388

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

Areas of Expertise CMS Part B claims 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

419 services267 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

283 services193 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

198 services198 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

185 services154 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

45 services13 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

34 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

Other Providers at the Same Location NPPES 4

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

NAVNEET JOHAL NURSE PRACTITIONER

Nurse Practitioner (Family)

1400 NORTHSIDE FORSYTH DR STE 200
CUMMING, GA 30041

Forsyth County (770) 898-8388

ANETA JOANNA CZAPLA

Nurse Practitioner (Primary Care)

1400 NORTHSIDE FORSYTH DR STE 200
CUMMING, GA 30041

Forsyth County (770) 898-8388

DR. HEMEN PADHIAR MD

Family Medicine

1400 NORTHSIDE FORSYTH DR STE 200
CUMMING, GA 30041

Forsyth County (770) 898-8388

HEMEN PADHIAR MD, PC

Family Medicine

1400 NORTHSIDE FORSYTH DR STE 200
CUMMING, GA 30041

Forsyth County (770) 898-8388

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 Mentzer's NPI number?

The NPI number for Megan Mentzer is 1205591948. It was assigned to this individual provider in the NPPES registry on November 8, 2021.

Where is Megan Mentzer located?

Megan Mentzer practices at 1400 Northside Forsyth Dr Ste 200, Cumming, GA 30041. The listed phone number is (770) 898-8388.

What is Megan Mentzer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Megan Mentzer enrolled in Medicare?

Yes. Megan Mentzer 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 organization bills Medicare for Megan Mentzer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Mentzer reassigns Medicare benefits to Hemen Padhiar MD, PC (Cumming, GA). The 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 Mentzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Mentzer accept?

Health plans from Oscar Health list Megan Mentzer 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 Mentzer was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.