Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Megan A Miller , AGNP-C

Nurse Practitioner • Springfield, MO

Active NPI 1740849645 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1911 S National Ave Ste 301
Springfield, MO 658042213

Call 4178865000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1911 S National Ave Ste 301

Springfield, MO 658042213

Telephone 4178865000
Fax 4178861100
Organization at the Same NPPES Address or Phone
Springfield Nephrology Associates Inc Facility NPI 1942324488

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Springfield Nephrology Associates Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2019

Medicare patients

283 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $31,319 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $22,715 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

503 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$12,642 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $153.53 across 7 records.

By nature of payment

  • Food and Beverage: $153.53 across 7 records.

Reporting-company totals (3 largest of 7)

  • Ardelyx, Inc.: $33.14 across 1 record.
  • Fresenius USA Marketing, Inc.: $24.13 across 1 record.
  • Otsuka Pharmaceutical Development & Commercialization, Inc.: $22.24 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Megan Miller has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Megan Miller as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Springfield and Missouri

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 65% of clinicians listed under Nurse Practitioner in Springfield, MO (2024, 82 clinicians with data). Median for this group: 285. Middle half: 107 to 609.

More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: 231. Middle half: 88 to 493.

Medicare-allowed amount

A higher Medicare-allowed amount than 65% of clinicians listed under Nurse Practitioner in Springfield, MO (2024, 82 clinicians with data). Median for this group: $17,084. Middle half: $6,320 to $36,642.

A higher Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: $17,615. Middle half: $6,020 to $35,542.

Paid by Medicare

A higher Medicare payment amount than 65% of clinicians listed under Nurse Practitioner in Springfield, MO (2024, 82 clinicians with data). Median for this group: $12,256. Middle half: $4,988 to $28,096.

A higher Medicare payment amount than 70% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: $12,817. Middle half: $4,412 to $26,824.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Nurse Practitioner in Springfield, MO (2024, 84 clinicians with data). Median for this group: 333. Middle half: 141 to 1,414.

Close to the middle for clinicians listed under Nurse Practitioner in Missouri (2024, 924 clinicians with data). Median for this group: 303. Middle half: 86 to 1,191.

Part D drug cost

Close to the middle for clinicians listed under Nurse Practitioner in Springfield, MO (2024, 84 clinicians with data). Median for this group: $13,845. Middle half: $1,861 to $127,856.

Close to the middle for clinicians listed under Nurse Practitioner in Missouri (2024, 924 clinicians with data). Median for this group: $13,920. Middle half: $1,057 to $134,310.

139 active clinicians are listed under Nurse Practitioner with a practice address in Springfield, MO (1,721 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

14.4% of these 139 clinicians have the CMS telehealth indicator.

66.2% of these 139 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $153.53.

Manufacturer Payment Nature Product Type Amount ($)
Ardelyx, Inc.
Food and Beverage
In-kind items and services
IBSRELA General $33.14
Fresenius USA Marketing, Inc.
Food and Beverage
In-kind items and services
VELPHORO General $24.13
Otsuka Pharmaceutical Development & Commercialization, Inc.
Food and Beverage
In-kind items and services
— General $22.24
Calliditas Therapeutics US Inc.
Food and Beverage
In-kind items and services
TARPEYO General $21.89
Apellis Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
Empaveli General $18.76
AKEBIA THERAPEUTICS INC
Food and Beverage
In-kind items and services
Vafseo General $18.32
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BENLYSTA General $15.05

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2019–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
129 88 $182.00 $62.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
122 93 $207.00 $67.08
90935 Hemodialysis procedure with physician evaluation
100 56 $346.00 $55.11
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
75 56 $24.00 $12.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
64 46 $247.00 $91.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
27 25 $364.00 $103.36

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amlodipine Besylate Amlodipine Besylate 47 2,790 $90.56 18
Furosemide Furosemide 43 2,381 $154.95 15
Tamsulosin Hcl Tamsulosin Hcl 34 1,606 $107.28 —
Hydralazine Hcl Hydralazine Hcl 24 1,335 $113.01 —
Carvedilol Carvedilol 21 906 $67.89 —
Bumetanide Bumetanide 19 750 $511.41 —
Farxiga Dapagliflozin Propanediol 19 570 $10,889.37 —
Calcitriol Calcitriol 17 727 $176.81 —
Prednisone Prednisone 16 600 $56.52 —
Atorvastatin Calcium Atorvastatin Calcium 14 420 $56.17 —
Lisinopril Lisinopril 13 1,050 $19.65 —
Torsemide Torsemide 13 813 $247.92 —
Metoprolol Succinate Metoprolol Succinate 11 990 $150.41 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MO 2019020216

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20190722000726

Enrollment State Jurisdiction

MO

PECOS Control ID

0941536429

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Springfield Nephrology Associates Inc

1911 S National Ave, Springfield, MO 658042213

Phone: 4178865000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
Taylor Baswell , NP-C

Nurse Practitioner

NPI 1568833937

Nurse Practitioner (Certified)

Jordan Buckley , NP-C

Nurse Practitioner

NPI 1245724574

Nurse Practitioner (Certified)

Lisa Coombs , NP-C

Nurse Practitioner

NPI 1184276438

Nurse Practitioner (Certified)

Dr. Stephen Garcia , MD

Internal Medicine - Nephrology

NPI 1285721647

Doctor of Medicine (M.D.)

Dr. Ethan Hoerschgen , MD

Internal Medicine - Nephrology

NPI 1447332945

Doctor of Medicine (M.D.)

Michelle Homesley , FNP

Nurse Practitioner - Family

NPI 1336461268

Family Nurse Practitioner

Career & Practice History

NPI enumerated June 13, 2019.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from July 2019 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1740849645
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2019
Last Update: June 13, 2019
Sole Proprietor: No

Other Nurse Practitioners in Springfield

All Nurse Practitioners in Springfield

Mailing Address

1911 S National Ave Ste 301

Springfield, MO 658042213

Phone: 4178865000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.