MEGAN NICOLE JAMES PMHNP-BC
NPI 1578344552
Nurse Practitioner - Psychiatric/Mental Health in New Smyrna Beach, FL

Q: What is Megan James's NPI number?

The NPI number for Megan James is 1578344552. It was assigned to this individual provider in the NPPES registry on October 6, 2023.

Q: What is Megan James's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Megan James was last updated on September 25, 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.

Active since October 06, 2023PECOS EnrolledAccepts Medicare Assignment

161 N CAUSEWAY STE A, NEW SMYRNA BEACH, FL 32169(386) 424-3320(386) 424-3319 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 25, 2024, Oct 6, 2023 (2 updates tracked since 2023).

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About Megan Nicole James Pmhnp-bc NPPES

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

MEGAN NICOLE JAMES PMHNP-BC (NPI 1578344552) is an individual psychiatric/mental health provider in New Smyrna Beach, Florida, licensed in Florida (11029062) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Nova Southeastern College Of Osteo Medicine (2023).

NPPES Registry Identity

NPI1578344552

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMEGAN NICOLE JAMESCredential: PMHNP-BC

Location Address161 N CAUSEWAY STE ANew Smyrna Beach, FL 32169-5328

Mailing Address161 N Causeway Ste ANew Smyrna Beach, FL 32169-5328 · (386) 424-3320 · Fax (386) 424-3319

Phone(386) 424-3320

Fax(386) 424-3319

Sole ProprietorNo

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2023

Enumeration DateOctober 6, 2023

Last NPPES UpdateSeptember 25, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2024

✔ NPI 1578344552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · 11029062

161 N CAUSEWAY STE A, New Smyrna Beach, FL 32169

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Secondary Practice Locations 3

Location 1850 N Stone StDeland, FL 32720-3256 · Phone (386) 424-3320

Location 22053 Cove Point RdPort Orange, FL 32128-3026 · Phone (386) 852-5615

Location 3711 Beville RdSouth Daytona, FL 32119-1823 · Phone (386) 424-3320

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..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 Nicole James Pmhnp-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 ID648619130

PECOS Enrollment IDI20240417000241

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

Behavior Functional Focus Clinic

Same address

Psychiatric/Mental Health

161 N CAUSEWAY STE A
New Smyrna Beach, FL 32169

Reassigned Medicare billing, Florida enrollment
2 clinicians in this Medicare group

NPI 1740056498 (386) 214-3170

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

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.

37 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32169 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 8

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

JEFF ANDREW BALDO YEPEZ APRN

Nurse Practitioner (Family)