MEGAN A MIDDLETON APRN
NPI 1629357959
Nurse Practitioner - Acute Care in Louisville, KY
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, is affiliated with Baptist Health Louisville, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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 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.
Medicare Billing Reassignments
2Medicare enrollment records show Megan Middleton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Louisville, KY 40207
- Reassigned Medicare billing, Kentucky enrollment
- 26 clinicians in this Medicare group
Indianapolis, IN 46260
- Reassigned Medicare billing, Kentucky enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Health Louisville
Acute Care Hospitals · Louisville, KYPhysician 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.
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.
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.
LOUISVILLE, KY 40207
LOUISVILLE, KY 40207
LOUISVILLE, KY 40207
LOUISVILLE, KY 40207
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.
Which organizations bill Medicare for Megan Middleton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Megan Middleton reassigns Medicare benefits to 2 organizations: X-Ray Associates Of Louisville Psc (Louisville, KY) and Imaging Associates Of Indiana, PC (Indianapolis, IN). Each 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 Middleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Megan Middleton accept?
Health plans from 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.
Is Megan Middleton affiliated with any hospitals?
According to CMS data, Megan Middleton is affiliated with Baptist Health Louisville.
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 15 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.
# Megan A Middleton, APRN · NPI 1629357959
Acute Care physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since August 4, 2011.
## Identity
- **NPI:** 1629357959 (Entity type: Individual)
- **Enumerated:** August 4, 2011
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 3006727 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3906 S DUPONT SQ, Louisville, KY 40207-4647
- **Phone:** (812) 282-3899
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): X-Ray Associates Of Louisville Psc (NPI 1922046002, Louisville, KY); Imaging Associates Of Indiana, PC (NPI 1699072611, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 30, 2025
- **Other identifiers:** Medicaid 7100211030 (KY); Medicaid 201168360 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1629357959) · Data from the CMS NPPES public registry.