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MEGAN THERESA SCHMENK PNP
NPI 1730875006
Nurse Practitioner - Pediatrics in Defiance, OH

Active since April 11, 2023PECOS Enrolled
1400 E 2ND ST STE 100, DEFIANCE, OH 43512(419) 783-3226(419) 783-2799 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2025, Mar 10, 2025, Aug 6, 2024 and 2 more (5 updates tracked since 2023).

About Megan Theresa Schmenk Pnp NPPES

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

MEGAN THERESA SCHMENK PNP (NPI 1730875006) is an individual pediatrics provider in Defiance, Ohio, licensed in Ohio (APRN.CNP.0034011) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730875006
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMEGAN THERESA SCHMENKCredential: PNP
Location Address1400 E 2ND ST STE 100Defiance, OH 43512-9905
Mailing Address2222 Cherry StToledo, OH 43608-2673 · (419) 251-3878
Phone(419) 783-3226
Fax(419) 783-2799
Sole ProprietorNo
Enumeration DateApril 11, 2023
Last NPPES UpdateJune 3, 20255 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1730875006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OH · APRN.CNP.0034011
1400 E 2ND ST STE 100, Defiance, OH 43512
Open in Google Maps ↗

Other Identifiers 1

Medicaid0031203OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Megan Theresa Schmenk Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Northwest Pediatric Specialists, LLC
49 mi
Pediatrics
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 233 clinicians in this Medicare group
NPI 1033709100 (419) 251-3232

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43512 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

JONATHON K NICHOLSON MD
Pediatrics
1400 E 2ND ST STE 100
DEFIANCE, OH 43512
Defiance County (419) 783-3226

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 Schmenk's NPI number?

The NPI number for Megan Schmenk is 1730875006. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Megan Schmenk located?

Megan Schmenk practices at 1400 E 2nd St Ste 100, Defiance, OH 43512. The listed phone number is (419) 783-3226.

What is Megan Schmenk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Megan Schmenk enrolled in Medicare?

Yes. Megan Schmenk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Megan Schmenk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Schmenk reassigns Medicare benefits to Northwest Pediatric Specialists, LLC (Toledo, OH). The 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 Schmenk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Schmenk accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Paramount list Megan Schmenk 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 Schmenk was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.