MEDICARE: MS. ANDREA ROSE MEGIEL APRN

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	363L00000X	Nurse Practitioner	10038193	OR
2	363L00000X	Nurse Practitioner	29755	SC
3	363L00000X	Nurse Practitioner	4031864	KY
4	363L00000X	Nurse Practitioner	0038032	OH
5	363L00000X	Nurse Practitioner	319094	AZ
6	363L00000X	Nurse Practitioner	C-RXN.0102392-C-NP	CO
7	363L00000X	Nurse Practitioner	AP61637861	WA
8	363L00000X	Nurse Practitioner	245149	LA
9	363L00000X	Nurse Practitioner	11017612	FL
10	363L00000X	Nurse Practitioner	3-001986	AL
11	363L00000X	Nurse Practitioner	GAA-NP002986	GA

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

General Provider Information

NPI Number	:	1285386177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANDREA ROSE MEGIEL APRN

Provider Business Mailing Address
First Line	:	PO BOX 211699
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55121-3699
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 HOWELL MILL RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-5557
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:

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

Provider Enumeration Date	:	01/21/2022
Last Update Date	:	01/12/2026

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