MEGAN M KRUSE CPNP-PC, CPNP-AC
NPI 1477274827
Nurse Practitioner - Pediatrics in Columbia, MO

Q: What is Megan Kruse's NPI number?

The NPI number for Megan Kruse is 1477274827. It was assigned to this individual provider in the NPPES registry on September 5, 2022. The provider is also known as Megan Sheffield.

Q: What is Megan Kruse'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 Kruse was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 05, 2022PECOS Enrolled

1010 RANGE LINE ST, COLUMBIA, MO 65201(573) 476-0022 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 11, 2023, Nov 28, 2022, Sep 5, 2022 (3 updates tracked since 2022).

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About Megan M Kruse Cpnp-pc, Cpnp-ac NPPES

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

MEGAN M KRUSE CPNP-PC, CPNP-AC (NPI 1477274827) is an individual pediatrics provider in Columbia, Missouri, licensed in Missouri (2022035164) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1477274827

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMEGAN M KRUSECredential: CPNP-PC, CPNP-AC

Location Address1010 RANGE LINE STColumbia, MO 65201-4565

Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943

Phone(573) 476-0022

Sole ProprietorNo

Enumeration DateSeptember 5, 2022

Last NPPES UpdateDecember 11, 20233 updates tracked since enumeration

NPPES CertifiedDecember 11, 2023

✔ NPI 1477274827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0200X

License✔ Licensed in MO · 2022035164

Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License 2022035164 (MO)

1010 RANGE LINE ST, Columbia, MO 65201

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Other Names 1

Former Name (1)Megan Sheffield

Secondary Practice Location 1

Location 1One Hospital DrColumbia, MO 65212-0001 · Phone (573) 882-6544 · Fax (573) 884-2256

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Megan M Kruse Cpnp-pc, Cpnp-ac 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.

Medicare Billing Reassignment

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

Preferred Family Healthcare Inc

31 mi

Federally Qualified Health Center (FQHC)

1625 GRATZ BROWN ST
Moberly, MO 65270

Reassigned Medicare billing, Missouri enrollment
44 clinicians in this Medicare group

NPI 1740831460 (573) 603-1460

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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

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

PREFERRED FAMILY HEALTHCARE, INC

Clinic/Center (Federally Qualified Health Center (FQHC))

1010 RANGE LINE ST
COLUMBIA, MO 65201

Boone County (573) 476-0030

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 Kruse's NPI number?

The NPI number for Megan Kruse is 1477274827. It was assigned to this individual provider in the NPPES registry on September 5, 2022. The provider is also known as Megan Sheffield.

Where is Megan Kruse located?

Megan Kruse practices at 1010 Range Line St, Columbia, MO 65201. The listed phone number is (573) 476-0022.

What is Megan Kruse's specialty?

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

Is Megan Kruse enrolled in Medicare?

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

Which organization bills Medicare for Megan Kruse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Kruse reassigns Medicare benefits to Preferred Family Healthcare Inc (Moberly, MO). 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 Kruse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Kruse accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 2 other insurers list Megan Kruse 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 Kruse was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.