MEGAN R HOVERMALE NP NPI 1790072114

NPI Information

NPI: 1790072114
Provider Name: MEGAN R HOVERMALE, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: DESERT ORTHOPAEDIC CENTER, LTD.

PECOS Registration: Yes

Address:
2800 E DESERT INN RD STE 100
LAS VEGAS, NV
ZIP 89121
Phone: (702) 731-1616
Get Directions

Megan R Hovermale, NP is an adult health nurse practitioner in Las Vegas, NV with 13 years of experience. Megan R Hovermale, NP NPI is 1790072114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2800 E DESERT INN RD STE 100
LAS VEGAS, NV
ZIP 89121-609
Phone: (702) 731-1616
Fax: (702) 734-4900

The NPI 1790072114 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/6/2011 and was last updated on 11/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		28176882A	INDIANA	No
2	163WM0705X	Registered Nurse	Medical-Surgical	APRN002621	NEVADA	No
3	363LA2200X	Nurse Practitioner	Adult Health	APRN002621	NEVADA	Yes
4	363LA2200X	Nurse Practitioner	Adult Health	71003807A	INDIANA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000740488	OTHER	INDIANA	ANTHEM PROVIDER NUMBER
2	201042250	MEDICAID	INDIANA
3	1790072114	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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