MEGAN E EFFINGER NP
NPI 1275050205
Nurse Practitioner - Pediatrics in Indianapolis, IN

Q: What is Megan Effinger's NPI number?

The NPI number for Megan Effinger is 1275050205. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Q: What is Megan Effinger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Megan Effinger was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since August 30, 2017PECOS Enrolled

705 RILEY HOSPITAL DR STE 2500, INDIANAPOLIS, IN 46202(317) 274-5785 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Mar 15, 2021, Feb 4, 2021 and 3 more (6 updates tracked since 2017).

On this page

About Megan E Effinger Np NPPES

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

MEGAN E EFFINGER NP (NPI 1275050205) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (71007435A) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1275050205

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMEGAN E EFFINGERCredential: NP

Location Address705 RILEY HOSPITAL DR STE 2500Indianapolis, IN 46202

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 274-5785

Sole ProprietorNo

Enumeration DateAugust 30, 2017

Last NPPES UpdateApril 30, 20256 updates tracked since enumeration

NPPES CertifiedApril 30, 2025

✔ NPI 1275050205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in IN · 71007435A

705 RILEY HOSPITAL DR STE 2500, Indianapolis, IN 46202

Open in Google Maps ↗

Secondary Practice Locations 3

Location 13900 Washington Ave # 100AEvansville, IN 47714-0550 · Phone (812) 485-7240

Location 21701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Location 3575 Riley Hospital DrIndianapolis, IN 46202-5272 · Phone (317) 944-6467

Other Identifiers 3

Other000001508728IN · Anthem Ptan

Medicaid300006531IN

Other000001335162IN · Anthem Ptan

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Megan E Effinger Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred

53%30 patients3/55-star benchmark: 95%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

69%146 patients3/55-star benchmark: 96%

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

Patients nutrition: 74% · 650 patients

Patients physicalActivity: 73% · 650 patients

91%650 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

LAUREN M YEGERLEHNER NP

Nurse Practitioner (Pediatrics)

705 RILEY HOSPITAL DR STE 2500
INDIANAPOLIS, IN 46202

Marion County (317) 948-4950

SARAH A MORARIU PNP

Nurse Practitioner (Pediatrics)

705 RILEY HOSPITAL DR STE 2500
INDIANAPOLIS, IN 46202

Marion County (317) 944-4681

PEDIATRIC SURGICAL ASSOCIATES INC

Surgery (Pediatric Surgery)

705 RILEY HOSPITAL DR STE 2500
INDIANAPOLIS, IN 46202

Marion County (317) 274-4681

MARIA KNAUS

Surgery

705 RILEY HOSPITAL DR STE 2500
INDIANAPOLIS, IN 46202

Marion County (317) 274-4606

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 Effinger's NPI number?

The NPI number for Megan Effinger is 1275050205. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Where is Megan Effinger located?

Megan Effinger practices at 705 Riley Hospital Dr Ste 2500, Indianapolis, IN 46202. The listed phone number is (317) 274-5785.

What is Megan Effinger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Megan Effinger enrolled in Medicare?

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

What insurance does Megan Effinger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Megan Effinger 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 Effinger was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.