MEGAN A MIDDLETON APRN
NPI 1629357959
Nurse Practitioner - Acute Care in Louisville, KY

Active since August 04, 2011PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
3906 S DUPONT SQ, LOUISVILLE, KY 40207(812) 282-3899 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2023, Oct 24, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Megan A Middleton Aprn NPPES

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

MEGAN A MIDDLETON APRN (NPI 1629357959) is an individual acute care provider in Louisville, Kentucky, licensed in Kentucky (3006727) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1629357959
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMEGAN A MIDDLETONCredential: APRN
Location Address3906 S DUPONT SQLouisville, KY 40207-4647
Mailing Address101 Hospital BlvdJeffersonville, IN 47130-3769 · (812) 282-3899 · Fax (812) 282-4172
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 4, 2011
Last NPPES UpdateJuly 30, 20254 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
NPI 1629357959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in KY · 3006727
3906 S DUPONT SQ, Louisville, KY 40207

Other Identifiers 2

Medicaid7100211030KY
Medicaid201168360IN

Accepted 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 A Middleton Aprn 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 ID5395980395
PECOS Enrollment IDI20130322000008
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES 6

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

Radiology (Vascular & Interventional Radiology)
3906 S DUPONT SQ
LOUISVILLE, KY 40207
Podiatrist (Foot & Ankle Surgery)
3906 S DUPONT SQ
LOUISVILLE, KY 40207
Radiology (Vascular & Interventional Radiology)
3906 S DUPONT SQ
LOUISVILLE, KY 40207
Radiology (Vascular & Interventional Radiology)
3906 S DUPONT SQ
LOUISVILLE, KY 40207
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3906 S DUPONT SQ
LOUISVILLE, KY 40207
Radiology (Vascular & Interventional Radiology)
3906 S DUPONT SQ
LOUISVILLE, KY 40207

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 Middleton's NPI number?

The NPI number for Megan Middleton is 1629357959. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Megan Middleton located?

Megan Middleton practices at 3906 S Dupont Sq, Louisville, KY 40207. The listed phone number is (812) 282-3899.

What is Megan Middleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Megan Middleton enrolled in Medicare?

Yes. Megan Middleton 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 Middleton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Megan Middleton 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 Middleton was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.