1. Home
  2. Directory
  3. West Virginia
  4. South Charleston
  5. Nurse Practitioner
  6. NPI Profile

MEGAN LEANN ARTHUR APRN, FNP-BC
NPI 1497233191
Nurse Practitioner - Family in South Charleston, WV

Active since August 03, 2018PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
424 DIVISION ST, SOUTH CHARLESTON, WV 25309(304) 767-7870(304) 767-7879 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Megan Leann Arthur Aprn, Fnp-bc NPPES

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

MEGAN LEANN ARTHUR APRN, FNP-BC (NPI 1497233191) is an individual family provider in South Charleston, West Virginia, licensed in West Virginia (APRN86080-FNP-BC) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1497233191
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEGAN LEANN ARTHURCredential: APRN, FNP-BC
Location Address424 DIVISION STSouth Charleston, WV 25309-1400
Mailing Address424 Division StSouth Charleston, WV 25309-1400 · (304) 767-7870 · Fax (304) 767-7879
Phone(304) 767-7870
Fax(304) 767-7879
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 3, 2018
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1497233191 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
License✔ Licensed in WV · APRN86080-FNP-BC
424 DIVISION ST, South Charleston, WV 25309
Open in Google Maps ↗

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 and accepts Medicare assignment

Megan Leann Arthur Aprn, Fnp-bc 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 ID547513855
PECOS Enrollment IDI20181101003144
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 5

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.
69 services65 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.
45 services44 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.
20 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services15 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV
OwnershipGovernment - Local
CMS Certification Number511313
Location701 Madison AvenueMadison, WV 25130 · Boone County
Emergency services

Jackson General Hospital

Critical Access Hospitals · Ripley, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511320
Location122 Pinnell StRipley, WV 25271 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

LESLEY E. WEISS PA-C
Physician Assistant (Medical)
424 DIVISION ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 767-7870
RICHARD BOYD PETERSON M.D.
Internal Medicine (Gastroenterology)
424 DIVISION ST, SUITE 100
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-4342

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 Arthur's NPI number?

The NPI number for Megan Arthur is 1497233191. It was assigned to this individual provider in the NPPES registry on August 3, 2018.

Where is Megan Arthur located?

Megan Arthur practices at 424 Division St, South Charleston, WV 25309. The listed phone number is (304) 767-7870.

What is Megan Arthur's specialty?

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

Is Megan Arthur enrolled in Medicare?

Yes. Megan Arthur 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.

What insurance does Megan Arthur accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Megan Arthur 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 Arthur affiliated with any hospitals?

According to CMS data, Megan Arthur is affiliated with Charleston Area Medical Center, Thomas Memorial Hospital, Boone Memorial Hospital and Jackson General Hospital.

When was this NPI record last updated?

The NPPES record for Megan Arthur was last updated on March 11, 2024. 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.