DR. MEGAN JOY DUININCK MD
NPI 1861855512
Psychiatry & Neurology - Psychiatry in Duluth, MN
About Dr. Megan Joy Duininck Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MEGAN JOY DUININCK MD (NPI 1861855512) is an individual psychiatry provider in Duluth, Minnesota, licensed in Minnesota (76022) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of University Of Minnesota Medical School (2016).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Megan Joy Duininck Md 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 Reassignment
Medicare enrollment records show Megan Duininck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Duluth, MN 55805
- Reassigned Medicare billing, Minnesota enrollment
- 1,460 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Mary's Medical Center
Acute Care Hospitals · Duluth, MNEssentia Health Duluth
Acute Care Hospitals · Duluth, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DULUTH, MN 55805
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 Duininck's NPI number?
The NPI number for Megan Duininck is 1861855512. It was assigned to this individual provider in the NPPES registry on March 31, 2016.
Where is Megan Duininck located?
Megan Duininck practices at 502 E 2nd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.
What is Megan Duininck's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Megan Duininck enrolled in Medicare?
Yes. Megan Duininck 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 organization bills Medicare for Megan Duininck's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Megan Duininck reassigns Medicare benefits to The Duluth Clinic, Ltd (Duluth, MN). 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 Duininck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Megan Duininck accept?
Health plans from Anthem Blue Cross and Blue Shield list Megan Duininck 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 Duininck affiliated with any hospitals?
According to CMS data, Megan Duininck is affiliated with Essentia Health St Mary's Medical Center and Essentia Health Duluth.
When was this NPI record last updated?
The NPPES record for Megan Duininck was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.