MEAGAN NORDSTROM (MD) – Internal Medicine Physician, NPI 1265052849

MEAGAN NORDSTROM (MD) is a healthcare provider. based in South lake tahoe, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A186735 (CA). The NPI Number for MEAGAN NORDSTROM (MD) is 1265052849

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MEAGAN NORDSTROM (MD)
NPI
1265052849
Phone
(530) 541-3420
Address
2170 SOUTH AVE
Enumeration Date
23 April 2020
Last Update Date
23 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5305435807
Graduation Year
2020 (6 years ago)
PAC ID
8820410137
Group Practice PAC ID
5395127682
Professional Enrollment ID
I20230830003348
Address ID
CA961507026SO2170XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

21,508 INTERNAL MEDICINE in CA

Provider Addresses for MEAGAN NORDSTROM (MD)

  • 2170 SOUTH AVE

    SOUTH LAKE TAHOE, CA 961507026

    Phone: (530) 541-3420

    Type: Location

  • 2527 W HARRISON ST APT 3

    CHICAGO, IL 606120269

    Phone: (502) 802-5573

    Type: Mailing

  • 1 WILLIAM CARLS DR

    COMMERCE TOWNSHIP, MI 483822201

    Phone: (248) 937-5085

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-03-29 • Largest payer in this snapshot: Mannkind Corporation ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Mannkind Corporation$17
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230830003348IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6837$0
99239Hospital discharge day management, more than 30 minutes3232$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 96150)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395127682View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Critical Care (Intensivists), Emergency MedicineNV
Family PracticeCA
Family PracticeCA
P S Y C H I A T R YCA
Critical Care (Intensivists), Emergency Medicine, Emergency MedicineCA
O T O L A R Y N G O L O G YPA
U R O L O G YCA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

Can I use this page to confirm MEAGAN NORDSTROM (MD)'s NPI?
Yes. MEAGAN NORDSTROM (MD) is listed with NPI 1265052849 in the public NPI dataset.
Does the file indicate MEAGAN NORDSTROM (MD) is practicing under active NPI?
Directory data currently reports MEAGAN NORDSTROM (MD) as active.
What is MEAGAN NORDSTROM (MD) best known for clinically?
Directory data describes MEAGAN NORDSTROM (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MEAGAN NORDSTROM (MD) based?
MEAGAN NORDSTROM (MD) is tied to South Lake Tahoe, California in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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