MS. MEGEN HANDLEY CRNP
NPI 1336120146
Nurse Practitioner in St Marys, PA

NPI Status: Active since November 09, 2005

Contact Information

761 JOHNSONBURG RD
SUITE 310
ST MARYS, PA
ZIP 15857
Phone: (814) 834-1686
Fax: (814) 834-6291

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  • Individual
  • Female
  • Years of Experience 26
  • Nurse Practitioner
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About MEGEN HANDLEY

This page provides the complete NPI Profile along with additional information for Megen Handley, a provider established in St Marys, Pennsylvania with a medical specialization in Nurse Practitioner and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1336120146 assigned on November 2005. The practitioner's primary taxonomy code is 363L00000X with license number SP007940 (PA). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1336120146
Provider Name
MS. MEGEN HANDLEY CRNP
Gender
Female
Entity Type
Individual
Location Address
761 JOHNSONBURG RD SUITE 310 ST MARYS, PA 15857
Location Phone
(814) 834-1686
Location Fax
(814) 834-6291
Mailing Address
761 JOHNSONBURG RD SUITE 310 ST MARYS, PA 15857
Mailing Phone
(814) 834-1686
Mailing Fax
(814) 834-6291
Medical School Name
OTHER
Graduation Year
2000
Is Sole Proprietor?
No
Enumeration Date
11-09-2005
Last Update Date
03-04-2014
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A nurse practitioner (NP) like Megen Handley is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
SP007940
License State
PA
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
073166MEDICARE ID-TYPE UNSPECIFIED (04) 
P97986MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Megen Handley is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Megen Handley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3072744630

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20140324001395

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    4 DME suppliers used 32 Medicare Claims 75 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 15 times for 15 patients

Advance care planning, first 30 minutes

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.

This service was performed 112 times for 112 patients

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

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.

This service was performed 100 times for 100 patients

Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic

A virtual check-in is a short online or phone consultation with your healthcare provider. It's for established patients and isn't related to a recent appointment. It's a convenient way to discuss health concerns without needing to visit the office in person.

This service was performed 211 times for 116 patients

Colonoscopy

A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.

This service was performed for 1-10 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 222 times for 130 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 94 times for 68 patients

Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free

The quadrivalent influenza vaccine is a flu shot that protects against four different flu viruses. Derived from cell cultures, it is free of preservatives and antibiotics. It's a safe and effective way to reduce your risk of getting the flu.

This service was performed 14 times for 14 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

This service was performed 11 times for 11 patients

Melanoma (skin cancer) excision

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

This service was performed for 1-10 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

This service was performed 44 times for 17 patients

Telephone medical discussion with physician, 11-20 minutes

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

This service was performed 55 times for 44 patients

Telephone medical discussion with physician, 5-10 minutes

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

This service was performed 17 times for 17 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.22 for a new patient copayment and $24.2 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 15857 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.88
  • Minimum New Patient Price $54.64
  • Maximum New Patient Price $166.87
  • Average New Patient Copayment $21.22
  • Minimum New Patient Copayment $13.66
  • Maximum New Patient Copayment $41.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.82
  • Minimum Established Patient Price $17.33
  • Maximum Established Patient Price $135.84
  • Average Established Patient Copayment $24.2
  • Minimum Established Patient Copayment $4.33
  • Maximum Established Patient Copayment $33.96

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 100% 63
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Megen Handley is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PENN HIGHLANDS DUBOIS100 HOSPITAL AVENUE
DUBOIS, PA 15801
(814) 371-2200Acute Care Hospitals
PENN HIGHLANDS ELK763 JOHNSONBURG ROAD
SAINT MARYS, PA 15857
(814) 788-8000Critical Access Hospitals

Reviews for MS. MEGEN HANDLEY CRNP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336120146
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236622018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 2 + 2 + 0 + 1 + 8 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1336120146 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

JOHN MICHAEL GORLOWSKI M.D.

Pediatrics

(Adolescent Medicine)

761 JOHNSONBURG RD
SUITE 360
ST MARYS, PA
ZIP 15857

(814) 781-8677

ELK REGIONAL PROFESSIONAL GROUP, INC.

Surgery

761 JOHNSONBURG RD
ERPG SPECIALTY SERVICES
SAINT MARYS, PA
ZIP 15857

(814) 788-8615

DR. DONALD HENRY RUDICK MD

Specialist

761 JOHNSONBURG RD
SUITE 350
ST MARYS, PA
ZIP 15857

(814) 781-8669

JOSEPH & SUBRAMANY, INC.

Specialist

761 JOHNSONBURG RD
SUITE 130
ST MARYS, PA
ZIP 15857

(814) 781-1188

LEI CHEN MD

Obstetrics & Gynecology

(Obstetrics)

761 JOHNSONBURG RD
ST MARYS, PA
ZIP 15857

(814) 834-6139

TRI-COUNTY UROLOGY INC

Urology

761 JOHNSONBURG RD
SUITE 350
SAINT MARYS, PA
ZIP 15857

(814) 781-8669

JOHN M GORLOWSKI MD PC

Pediatrics

(Adolescent Medicine)

761 JOHNSONBURG RD
SUITE 360
SAINT MARYS, PA
ZIP 15857

(814) 781-8677

DR. TED BRUBAKER ESHBACH M.D.

Orthopaedic Surgery

761 JOHNSONBURG RD
SUITE 310
ST MARYS, PA
ZIP 15857

(814) 834-1686

DAVID HOWARD JOHE MD

Orthopaedic Surgery

761 JOHNSONBURG RD
SAINT MARYS, PA
ZIP 15857

(814) 781-8655

ANNE M BREINDEL PA-C

Physician Assistant

(Medical)

761 JOHNSONBURG RD
SUITE 240
SAINT MARYS, PA
ZIP 15857

(814) 834-6565

DR. STEVEN KOCH MD

Obstetrics & Gynecology

761 JOHNSONBURG RD
SUITE 210
SAINT MARYS, PA
ZIP 15857

(814) 788-8118

DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS FAMILY MEDICINE

Family Medicine

761 JOHNSONBURG RD
SUITE 240
SAINT MARYS, PA
ZIP 15857

(814) 788-8183

DUBOIS REGIONAL MED CENTER - PENN HIGHLANDS FAMILY MED ST MARYS 94150

Family Medicine

761 JOHNSONBURG RD
SUITE 220
SAINT MARYS, PA
ZIP 15857

(814) 834-2850

DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS MEDICAL ARTS BLDG ELK

Family Medicine

761 JOHNSONBURG RD
SAINT MARYS, PA
ZIP 15857

(814) 371-2200

MRS. ANDREA LEE INZANA PA-C

Physician Assistant

761 JOHNSONBURG RD
SUITE 310
SAINT MARYS, PA
ZIP 15857

(814) 834-1686

SARAH MEANS PA-C

Physician Assistant

761 JOHNSONBURG RD
SUITE 210
SAINT MARYS, PA
ZIP 15857

(814) 788-8118

DR. ANUJIT SINGH DO

Internal Medicine

761 JOHNSONBURG RD
SUITE 220
SAINT MARYS, PA
ZIP 15857

(814) 788-8184

MRS. NICOLE LYNN VILLELLA CRNP

Nurse Practitioner

761 JOHNSONBURG RD
SAINT MARYS, PA
ZIP 15857

(814) 788-8777

ERIN MARY MCMAHON CRNP

Nurse Practitioner

(Women's Health)

761 JOHNSONBURG RD
SAINT MARYS, PA
ZIP 15857

(814) 788-8118

ELK REGIONAL PROFESSIONAL GROUP, INC

Physical Therapist

761 JOHNSONBURG RD
SUITE 310
ST MARYS, PA
ZIP 15857

(814) 788-8188

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336120146, enumerated in the NPI registry as an "individual" on November 09, 2005

The provider is located at 761 Johnsonburg Rd Suite 310 St Marys, Pa 15857 and the phone number is (814) 834-1686

The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X

The provider has more than 26 years of experience.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $84.88 with an average copayment of $21.22 for new patient appointments. Established patients should expect a typical charge of $96.82 and an average copayment of 24.2. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Advance care planning, first 30 minutes, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic, Colonoscopy, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free, Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment, Melanoma (skin cancer) excision, Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional, Telephone medical discussion with physician, 11-20 minutes and Telephone medical discussion with physician, 5-10 minutes.

The practitioner is affiliated to the following hospital(s): PENN HIGHLANDS DUBOIS and PENN HIGHLANDS ELK. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on November 09, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.