MEGAN HOFFMAN FNP
NPI 1386931590
Nurse Practitioner in Harrisburg, IL

Q: What is Megan Hoffman's NPI number?

The NPI number for Megan Hoffman is 1386931590. It was assigned to this individual provider in the NPPES registry on July 8, 2011. The provider is also known as Megan Ellis Rn.

Q: What is Megan Hoffman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Megan Hoffman was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 July 08, 2011PECOS EnrolledAccepts Medicare Assignment

117 E CLARK ST, HARRISBURG, IL 62946(618) 252-8625(618) 351-4859 Get Directions Write a Review

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

Record update history: Nov 11, 2024, Nov 4, 2022, Sep 24, 2021 and 2 more (5 updates tracked since 2018).

On this page

About Megan Hoffman Fnp NPPES

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

MEGAN HOFFMAN FNP (NPI 1386931590) is an individual nurse practitioner in Harrisburg, Illinois, licensed in Illinois (209008898) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1386931590

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMEGAN HOFFMANCredential: FNP

Location Address117 E CLARK STHarrisburg, IL 62946-2702

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200

Phone(618) 252-8625

Fax(618) 351-4859

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 8, 2011

Last NPPES UpdateNovember 11, 20245 updates tracked since enumeration

NPPES CertifiedNovember 11, 2024

✔ NPI 1386931590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209008898

Definition

(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.

117 E CLARK ST, Harrisburg, IL 62946

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Other Names 1

Former Name (1)Megan Ellis Rn

Secondary Practice Locations 5

Location 12808 Outer DrMarion, IL 62959-5207 · Phone (618) 993-3817 · Fax (618) 993-3908

Location 2502 W Saint Louis St Ste 4West Frankfort, IL 62896-1968 · Phone (618) 937-3400

Location 3901 S Commercial StHarrisburg, IL 62946-2640 · Phone (618) 993-3817 · Fax (618) 993-3908

Location 4405 Rushing DrHerrin, IL 62948-3730 · Phone (618) 993-3300 · Fax (618) 993-0262

Location 52601 W Main StCarbondale, IL 62901-1031 · Phone (618) 549-5361 · Fax (618) 351-4878

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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 Hoffman 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 ID4284809781

PECOS Enrollment IDI20111212000818

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 Hoffman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Illinois Medical Services, Nfp

36 mi

Internal Medicine

1239 E MAIN ST
Carbondale, IL 62901

Reassigned Medicare billing, Illinois enrollment
702 clinicians in this Medicare group

NPI 1770656837 (618) 457-5200

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 4

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

90 services44 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

30 services29 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

15 services14 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140210

Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62946 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier18 claims18 services$7.24 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 20

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

MRS. KRYSTA ANN MITCHELL FNP-C

Nurse Practitioner

117 E CLARK ST
HARRISBURG, IL 62946

Saline County (618) 252-8625

DR. JENNIFER MARIE SCAGLIOLA D.O.

Surgery

117 E CLARK ST, SIH MEDICAL GROUP PRIMARY CARE HARRISBURG
HARRISBURG, IL 62946

Saline County (618) 252-8625

JOSEPH BAXTER DPT

Physical Therapist

117 E CLARK ST
HARRISBURG, IL 62946

Saline County (618) 294-9326

KIMBERLY ANN KESER CS-FNP

Nurse Practitioner

117 E CLARK ST
HARRISBURG, IL 62946

Saline County (618) 252-8625

BRENT M JONES MD

Family Medicine

117 E CLARK ST
HARRISBURG, IL 62946

Saline County (618) 252-8625

DIANNA QUESTELLE

Massage Therapist

117 E CLARK ST
HARRISBURG, IL 62946

Saline County (618) 252-8625

MRS. KATHERINE EMILY JONES LCSW

Social Worker (Clinical)

117 E CLARK ST
HARRISBURG, IL 62946

Saline County (618) 927-8942

TURENNE M METAYER DPM

Podiatrist (Foot & Ankle Surgery)

117 E CLARK ST
HARRISBURG, IL 62946

Saline County (618) 294-9300

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 Hoffman's NPI number?

The NPI number for Megan Hoffman is 1386931590. It was assigned to this individual provider in the NPPES registry on July 8, 2011. The provider is also known as Megan Ellis Rn.

Where is Megan Hoffman located?

Megan Hoffman practices at 117 E Clark St, Harrisburg, IL 62946. The listed phone number is (618) 252-8625.

What is Megan Hoffman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Megan Hoffman enrolled in Medicare?

Yes. Megan Hoffman 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 Hoffman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Hoffman reassigns Medicare benefits to Southern Illinois Medical Services, Nfp (Carbondale, IL). 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 Hoffman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Hoffman accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Megan Hoffman 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 Hoffman affiliated with any hospitals?

According to CMS data, Megan Hoffman is affiliated with Herrin Hospital and Harrisburg Medical Center.

When was this NPI record last updated?

The NPPES record for Megan Hoffman was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.