MRS. MEGAN ANN TOLEN NP
NPI 1497007033
Nurse Practitioner - Acute Care in Lafayette, IN
NPI Status: Active since October 05, 2012
Contact Information
1701 S CREASY LN
LAFAYETTE, IN
ZIP 47905
Phone: (765) 502-4000
- NPI Profile Information
- Primary Taxonomy
- Insurance Plans Accepted
- Secondary Locations
- Medicare Participation & PECOS Status
- Areas of Expertise
- Durable Medical Equipment
- Physician Visit Costs
- Quality Reporting
- Hospital Affiliations - Privileges
- NPI Validation
- Other Providers Same Location
- Frequently Asked Questions
- Individual
- Female
- Years of Experience 14
- Nurse Practitioner
- Acute Care
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About MEGAN TOLEN
This page provides the complete NPI Profile along with additional information for Megan Tolen, a provider established in Lafayette, Indiana with a medical specialization in Nurse Practitioner, focusing in acute care and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1497007033 assigned on October 2012. The practitioner's primary taxonomy code is 363LA2100X with license number 71004084A (IN). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1497007033
- Provider Name
- MRS. MEGAN ANN TOLEN NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1701 S CREASY LN LAFAYETTE, IN 47905
- Location Phone
- (765) 502-4000
- Mailing Address
- PO BOX 781076 DETROIT, MI 48278
- Mailing Phone
- (317) 528-4800
- Mailing Fax
- Medical School Name
- OTHER
- Graduation Year
- 2012
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-05-2012
- Last Update Date
- 03-13-2021
- Code Navigator
A nurse practitioner (NP) like Megan Tolen is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 1501 Hartford St
Lafayette, IN 47904
(765) 423-6165
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Acute Care
- Taxonomy Code
- 363LA2100X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 71004084A
- License State
- IN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 9200 $25 Generic Drugs - HMO
- Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
000000805906 | OTHER (01) | ANTHEM | |
12511350 | OTHER (01) | CAQH | |
201136200 | MEDICAID (05) | IN |
Medicare Participation & PECOS Enrollment Status
Megan Tolen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Megan Tolen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4789823444
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20130610000764
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
1 DME suppliers used 29 Medicare Claims 29 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
1 DME suppliers used 29 Medicare Claims 29 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Hospital discharge day management, more than 30 minutes
Hospital observation care on day of discharge
Initial hospital inpatient care per day, typically 70 minutes
Initial hospital observation care per day, typically 70 minutes
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 39 times for 21 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 76 times for 45 patientsHospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
This service was performed 53 times for 50 patientsHospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.
This service was performed 14 times for 13 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 53 times for 48 patientsThis service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
This service was performed 24 times for 23 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.51 for a new patient copayment and $23.55 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 47905 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.04
- Minimum New Patient Price $53.07
- Maximum New Patient Price $161.76
- Average New Patient Copayment $20.51
- Minimum New Patient Copayment $13.26
- Maximum New Patient Copayment $40.44
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.22
- Minimum Established Patient Price $16.93
- Maximum Established Patient Price $132.22
- Average Established Patient Copayment $23.55
- Minimum Established Patient Copayment $4.23
- Maximum Established Patient Copayment $33.05
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Advance Care Planning | Yes | N/A |
Implementation of practices/processes to develop advance care planning that includes: documenting the advance care plan or living will within the medical record, educating clinicians about advance care planning motivating them to address advance care planning needs of their patients, and how these needs can translate into quality improvement, educating clinicians on approaches and barriers to talking to patients about end-of-life and palliative care needs and ways to manage its documentation, as well as informing clinicians of the healthcare policy side of advance care planning. | ||
Care Plan | 99% | 106 |
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
Implementation of medication management practice improvements | Yes | N/A |
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
Participation in an AHRQ-listed patient safety organization. |
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Megan Tolen is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
INDIANA UNIVERSITY HEALTH FRANKFORT INC | 1300 S JACKSON ST FRANKFORT, IN 46041 | (765) 656-3000 | Critical Access Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 9 | 7 | 0 | 0 | 7 | 0 | 3 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 18 | 7 | 0 | 0 | 14 | 0 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 1 + 8 + 7 + 0 + 0 + 1 + 4 + 0 + 6 + 24 = 57 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 57 = 3 | 3 |
The NPI number 1497007033 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1376512327 | BRENDA B JURICH MD Individual | Radiology (Diagnostic Radiology) | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 446-4819 |
1952356164 | MADELYN G LEFRANC MD Individual | Radiology (Diagnostic Radiology) | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 446-4819 |
1386668812 | SIGMA MEDICAL GROUP, LLC Organization | General Practice | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 775-2828 |
1831105600 | RICHARD INGERSOLL MD Individual | Anesthesiology | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 502-4000 |
1780690222 | UCHENDU AZODO M.D. Individual | Radiology (Diagnostic Radiology) | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 446-4819 |
1457497307 | FAROUK E MERCHO MD Individual | Radiology (Diagnostic Radiology) | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 446-4819 |
1265763742 | GREATER LAFAYETTE HEALTH SERVICES Organization | Pharmacy (Institutional Pharmacy) | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 502-4500 |
1093013393 | GREATER LAFAYETTE HEALTH SERVICES Organization | Durable Medical Equipment & Medical Supplies | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 502-4000 |
1326319096 | DR. SAGAR SENDHABHAI PATEL M.D. Individual | Internal Medicine | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 502-4000 |
1750793873 | MRS. ELLORA GULATI Individual | Physical Therapist | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 423-6885 |
1588044275 | KATHRYN REBECCA BONTRAGER PA-C Individual | Physician Assistant | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 502-4000 |
1619340593 | ASPEN LEAF EMERGENCY PHYSICIANS, LLC Organization | Emergency Medicine | 1701 S CREASY LN LAFAYETTE, IN 47905 (469) 401-2386 |
1427013796 | ANTHONY B ADELSON MD Individual | Radiology (Diagnostic Radiology) | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 502-4000 |
1114332459 | WILLIAM BODINE PA-C Individual | Physician Assistant (Medical) | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 502-4000 |
1356435341 | FRANCISCAN HEALTH LAFAYETTE Organization | General Acute Care Hospital | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 502-4000 |
1245571363 | MRS. AMY MARIE DAMERON PT Individual | Physical Therapist | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 423-6336 |
1811423130 | WENDY PULLEN OTR Individual | Occupational Therapist (Physical Rehabilitation) | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 423-6885 |
1114455854 | KAREN ELAINE SEMON PTA Individual | Physical Therapy Assistant | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 502-4100 |
1659809663 | MS. TRICIA MARIE SCHUTZ Individual | Speech-Language Pathologist | 1701 S CREASY LN LAFAYETTE, IN 47905 (765) 502-4100 |
1023547973 | RACHAEL GUERIN PA-C Individual | Physician Assistant | 1701 S CREASY LN LAFAYETTE, IN 47905 (815) 575-4585 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497007033, enumerated in the NPI registry as an "individual" on October 05, 2012
The provider is located at 1701 S Creasy Ln Lafayette, In 47905 and the phone number is (765) 502-4000
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2100X with a focus in Acute Care
The provider has more than 14 years of experience.
The provider might be accepting Accepts: CareSource, Anthem Blue Cross, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.04 with an average copayment of $20.51 for new patient appointments. Established patients should expect a typical charge of $94.22 and an average copayment of 23.55. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Hospital discharge day management, more than 30 minutes, Hospital observation care on day of discharge, Initial hospital inpatient care per day, typically 70 minutes and Initial hospital observation care per day, typically 70 minutes.
The practitioner is affiliated to the following hospital(s): INDIANA UNIVERSITY HEALTH FRANKFORT INC. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on October 05, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.