MEDICARE: MEGAN N CLONCS NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	71003193A	IN
2	363LA2200X	Adult Health Nurse Practitioner	28160778B	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01512483	OTHER	IN	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000659680	OTHER	IN	ANTHEM

General Provider Information

NPI Number	:	1275859001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN N CLONCS NP

Provider Business Mailing Address
First Line	:	201 N ILLINOIS ST STE 500
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1904
Country	:	US
Telephone Number	:	888-731-8994
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 N ILLINOIS ST STE 500
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-1904
Country	:	US
Telephone Number	:	888-731-8994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2010
Last Update Date	:	04/07/2026

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Directions to “ MEGAN N CLONCS NP” Practice Location

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