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MEGAN JANE MCDOWELL APRN
NPI 1922694157
Nurse Practitioner - Family in Grayson, KY

Active since December 11, 2020PECOS Enrolled

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 10, 2025, Dec 11, 2020 (2 updates tracked since 2020).

About Megan Jane Mcdowell Aprn NPPES

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

MEGAN JANE MCDOWELL APRN (NPI 1922694157) is an individual family provider in Grayson, Kentucky, licensed in Kentucky (3015263) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922694157
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEGAN JANE MCDOWELLCredential: APRN
Location Address20 HALL RDGrayson, KY 41143-9290
Mailing Address20 Hall RdGrayson, KY 41143-9290
Phone(606) 923-1191
Sole ProprietorNo
Enumeration DateDecember 11, 2020
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1922694157 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 KY · 3015263
20 HALL RD, Grayson, KY 41143
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).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 Jane Mcdowell Aprn 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 Reassignments

3

Medicare enrollment records show Megan Mcdowell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Claire Medical Center,inc
8.7 mi
Rural Health
390 KY HWY 7 SOUTH
Sandy Hook, KY 41171
  • Reassigned Medicare billing, Kentucky enrollment
  • 296 clinicians in this Medicare group
NPI 1447212493 (606) 738-5155
Infinity Center LLC
23 mi
Addiction Medicine
340 17TH ST STE 2
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky enrollment
  • 8 clinicians in this Medicare group
NPI 1093119539 (606) 420-4070
Signify Health, LLC
864 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky enrollment
  • 390 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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 41143 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.

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 Mcdowell's NPI number?

The NPI number for Megan Mcdowell is 1922694157. It was assigned to this individual provider in the NPPES registry on December 11, 2020.

Where is Megan Mcdowell located?

Megan Mcdowell practices at 20 Hall Rd, Grayson, KY 41143. The listed phone number is (606) 923-1191.

What is Megan Mcdowell's specialty?

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

Is Megan Mcdowell enrolled in Medicare?

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

Which organizations bill Medicare for Megan Mcdowell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Mcdowell reassigns Medicare benefits to 3 organizations: St. Claire Medical Center,inc (Sandy Hook, KY), Infinity Center LLC (Ashland, KY) and Signify Health, LLC (Dallas, TX). 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 Mcdowell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Mcdowell accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Megan Mcdowell 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 Mcdowell was last updated on October 10, 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.