MEGAN E GEBHART APNP
NPI 1669952297
Nurse Practitioner - Family in Menasha, WI

Active since August 14, 2018PECOS EnrolledAccepts Medicare Assignment
95.81/100
CMS Quality Rating
1550 MIDWAY PL, MENASHA, WI 54952(920) 727-8030 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2025, Jan 29, 2020, Jan 21, 2019 and 1 more (4 updates tracked since 2018).

About Megan E Gebhart Apnp NPPES

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

MEGAN E GEBHART APNP (NPI 1669952297) is an individual family provider in Menasha, Wisconsin, licensed in Wisconsin (8559) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and maintains a secondary practice location in Oshkosh.

NPPES Registry Identity

NPI1669952297
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEGAN E GEBHARTCredential: APNP
Location Address1550 MIDWAY PLMenasha, WI 54952-1165
Mailing Address2700 W 9th AveOshkosh, WI 54904-7247 · (920) 738-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 14, 2018
Last NPPES UpdateNovember 24, 20254 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
NPI 1669952297 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 WI · 8559
1550 MIDWAY PL, Menasha, WI 54952

Other Names 1

Former Name (1)Megan E Fritz, Abler Apnp

Secondary Practice Location 1

Location 12700 W 9th AveOshkosh, WI 54904-7247 · Phone (920) 738-2000

Other Identifiers 1

Medicaid100080588WI

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 E Gebhart Apnp 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 ID5294086013
PECOS Enrollment IDI20180918002390
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 4

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.
215 services122 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
146 services81 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
59 services40 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
25 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Ascension Calumet Hospital

Critical Access Hospitals · Chilton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521317
Location614 Memorial DriveChilton, WI 53014 · Calumet County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54952 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

95.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability81
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers15 claims185 services$17.29 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers14 claims465 services$2.36 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims14 services$173.28 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers66 claims257 services$6.49 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers18 claims33 services$0.96 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers24 claims24 services$300.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Occupational Therapist
1550 MIDWAY PL
MENASHA, WI 54952
Occupational Therapist
1550 MIDWAY PL
MENASHA, WI 54952
Dermatology (MOHS-Micrographic Surgery)
1550 MIDWAY PL
MENASHA, WI 54952
Nurse Practitioner (Family)
1550 MIDWAY PL
MENASHA, WI 54952
Clinic/Center (Ambulatory Surgical)
1550 MIDWAY PL
MENASHA, WI 54952
Speech-Language Pathologist
1550 MIDWAY PL
MENASHA, WI 54952
Occupational Therapy Assistant
1550 MIDWAY PL
MENASHA, WI 54952
Internal Medicine (Rheumatology)
1550 MIDWAY PL
MENASHA, WI 54952

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 Gebhart's NPI number?

The NPI number for Megan Gebhart is 1669952297. It was assigned to this individual provider in the NPPES registry on August 14, 2018. The provider is also known as Megan E Fritz, Abler Apnp.

Where is Megan Gebhart located?

Megan Gebhart practices at 1550 Midway Pl, Menasha, WI 54952. The listed phone number is (920) 727-8030.

What is Megan Gebhart's specialty?

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

Is Megan Gebhart enrolled in Medicare?

Yes. Megan Gebhart 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 Gebhart accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Megan Gebhart 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 Gebhart affiliated with any hospitals?

According to CMS data, Megan Gebhart is affiliated with Ascension NE Wisconsin - St Elizabeth Campus and Ascension Calumet Hospital.

When was this NPI record last updated?

The NPPES record for Megan Gebhart was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.