MEGAN M COX DNP, FNP
NPI 1326504135
Nurse Practitioner - Family in Edwardsville, IL

Active since February 17, 2019PECOS EnrolledAccepts Medicare Assignment
2122 TROY RD STE 130, EDWARDSVILLE, IL 62025(618) 800-4500 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2023, Feb 26, 2021, Jan 20, 2021 and 3 more (6 updates tracked since 2019).

About Megan M Cox Dnp, Fnp NPPES

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

MEGAN M COX DNP, FNP (NPI 1326504135) is an individual family provider in Edwardsville, Illinois, licensed in Illinois (209019053) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1326504135
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEGAN M COXCredential: DNP, FNP
Location Address2122 TROY RD STE 130Edwardsville, IL 62025-2540
Mailing Address2122 Troy Rd Ste 130Edwardsville, IL 62025-2540 · (618) 800-4500
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 17, 2019
Last NPPES UpdateFebruary 8, 20236 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
NPI 1326504135 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
Licenses Licensed in IL · 209019053 Licensed in MO · 2019005040
2122 TROY RD STE 130, Edwardsville, IL 62025

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 M Cox Dnp, Fnp 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 ID5193066793
PECOS Enrollment IDI20200330002459
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 6

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 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.
157 services102 patients
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.
53 services45 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.
49 services49 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62025 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims28 services$4.92 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.44 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$2.84 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims15 services$176.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
2122 TROY RD STE 130
EDWARDSVILLE, IL 62025
Nurse Practitioner
2122 TROY RD STE 130
EDWARDSVILLE, IL 62025
Family Medicine
2122 TROY RD STE 130
EDWARDSVILLE, IL 62025
Family Medicine
2122 TROY RD STE 130
EDWARDSVILLE, IL 62025
Internal Medicine (Gastroenterology)
2122 TROY RD STE 130
EDWARDSVILLE, IL 62025
Nurse Practitioner (Family)
2122 TROY RD STE 130
EDWARDSVILLE, IL 62025
Internal Medicine (Gastroenterology)
2122 TROY RD STE 130
EDWARDSVILLE, IL 62025
Physician Assistant
2122 TROY RD STE 130
EDWARDSVILLE, IL 62025

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 Cox's NPI number?

The NPI number for Megan Cox is 1326504135. It was assigned to this individual provider in the NPPES registry on February 17, 2019.

Where is Megan Cox located?

Megan Cox practices at 2122 Troy Rd Ste 130, Edwardsville, IL 62025. The listed phone number is (618) 800-4500.

What is Megan Cox's specialty?

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

Is Megan Cox enrolled in Medicare?

Yes. Megan Cox 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.

Is Megan Cox affiliated with any hospitals?

According to CMS data, Megan Cox is affiliated with Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Megan Cox was last updated on February 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.