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MEGAN DOHENY MSN, WHNP-BC
NPI 1609318922
Nurse Practitioner - Women's Health in Hobart, IN

Active since November 17, 2016PECOS EnrolledAccepts Medicare Assignment
1400 S LAKE PARK AVE, SUITE 205, HOBART, IN 46342(219) 942-8620 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Megan Doheny Msn, Whnp-bc NPPES

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

MEGAN DOHENY MSN, WHNP-BC (NPI 1609318922) is an individual women's health provider in Hobart, Indiana, licensed in Indiana (71006703A) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609318922
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMEGAN DOHENYCredential: MSN, WHNP-BC
Location Address1400 S LAKE PARK AVE, SUITE 205Hobart, IN 46342-6790
Mailing Address1400 S Lake Park Ave, Suite 205Hobart, IN 46342-6790 · (219) 942-8620
Phone(219) 942-8620
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 17, 2016
✔ NPI 1609318922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in IN · 71006703A
1400 S LAKE PARK AVE, Hobart, IN 46342
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.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 Doheny Msn, Whnp-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 ID9638450315
PECOS Enrollment IDI20170112000293
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 3

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services12 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.
18 services12 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46342 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

TINA CRUM CNM
Advanced Practice Midwife
1400 S LAKE PARK AVE
HOBART, IN 46342
Lake County (219) 942-8620
DR. RICHARD J BROWNE MD
Surgery
1400 S LAKE PARK AVE, STE 200
HOBART, IN 46342
Lake County (219) 947-6122
MRS. HOLLY ELIZABETH RAIMONDI PA-C
Physician Assistant (Surgical)
1400 S LAKE PARK AVE, STE 200
HOBART, IN 46342
Lake County (219) 947-6122
KATHY NOBLES FNP-C
Clinic/Center (Primary Care)
1400 S LAKE PARK AVE, SUITE 405
HOBART, IN 46342
Lake County (219) 945-0090
MRS. KRISTEN NICOLE MCGING FNP-BC
Nurse Practitioner (Family)
1400 S LAKE PARK AVE
HOBART, IN 46342
Lake County (219) 947-6009
DAVID C WILKS MD
Urology
1400 S LAKE PARK AVE, SUITE 105
HOBART, IN 46342
Lake County (219) 942-5599
DR. JASON ODELL HEATON M.D.
Obstetrics & Gynecology
1400 S LAKE PARK AVE, SUITE 405
HOBART, IN 46342
Lake County (219) 942-8583
AMY C BALES MD
Internal Medicine (Cardiovascular Disease)
1400 S LAKE PARK AVE, SUITE 400
HOBART, IN 46342
Lake County (219) 942-6166

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 Doheny's NPI number?

The NPI number for Megan Doheny is 1609318922. It was assigned to this individual provider in the NPPES registry on November 17, 2016.

Where is Megan Doheny located?

Megan Doheny practices at 1400 S Lake Park Ave Suite 205, Hobart, IN 46342. The listed phone number is (219) 942-8620.

What is Megan Doheny's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Megan Doheny enrolled in Medicare?

Yes. Megan Doheny 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 Doheny accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Megan Doheny 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 Doheny affiliated with any hospitals?

According to CMS data, Megan Doheny is affiliated with St Mary Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Megan Doheny was last updated on November 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.