MEAGAN PETREK (A.P.R.N.) – Nurse Practitioner, NPI 1376925974

MEAGAN PETREK (A.P.R.N.) is a healthcare provider. based in San diego, California. specializing in NURSE PRACTITIONER. They hold the professional credentials A.P.R.N.. They hold a License No. 95005125 (CA). The NPI Number for MEAGAN PETREK (A.P.R.N.) is 1376925974

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MEAGAN PETREK (A.P.R.N.)
NPI
1376925974
Phone
(858) 571-3630
Address
5395 RUFFIN RD STE 204
Enumeration Date
19 June 2015
Last Update Date
10 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4027306870
Graduation Year
2015 (11 years ago)
PAC ID
8022323195
Group Practice PAC ID
7517911555
Professional Enrollment ID
I20150818005939
Address ID
NE685165489LI3900XRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

16,353 NURSE PRACTITIONER in CA

Provider Addresses for MEAGAN PETREK (A.P.R.N.)

  • 5395 RUFFIN RD STE 204

    SAN DIEGO, CA 92123

    Phone: (858) 571-3630

    Fax: (858) 430-3146

    Type: Mailing

  • 3900 FIFTH AVE STE 110

    SAN DIEGO, CA 921033122

    Phone: (858) 554-1212

    Fax: (858) 430-3146

    Type: Location

  • 2030 S DITMAR ST

    OCEANSIDE, CA 920546526

    Phone: (402) 613-3916

    Fax: (858) 430-3146

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20150818005939INurse PractitionerNETBD
I20180309002328INurse PractitionerCATBD
I20220222002545INurse PractitionerTXTBD

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
99483Assessment of and care planning for patient with impaired thought processing, typically 60 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 92123)

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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: 7517911555View full group profile
NameSpecialtyState
Internal Medicine, Hospice/Palliative CareNE
Nurse PractitionerNE
Nurse PractitionerNE
Nurse PractitionerIA
Internal MedicineNE
Nurse PractitionerNE
Nurse PractitionerNE
Nurse PractitionerNE
Nurse PractitionerNE
Physician AssistantNE

Reviews

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Frequently asked questions

What federal number belongs to MEAGAN PETREK (A.P.R.N.)?
The federal identifier for MEAGAN PETREK (A.P.R.N.) is NPI 1376925974.
Is MEAGAN PETREK (A.P.R.N.) active in the national directory?
MEAGAN PETREK (A.P.R.N.)'s public NPI profile is in an active state.
What does MEAGAN PETREK (A.P.R.N.) treat or focus on?
Patients typically see MEAGAN PETREK (A.P.R.N.) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MEAGAN PETREK (A.P.R.N.)'s primary listing?
We display San Diego, California because that is what the record indicates for MEAGAN PETREK (A.P.R.N.).
Is MEAGAN PETREK (A.P.R.N.) a real provider?
This page reflects official NPPES data for NPI 1376925974. Always confirm identity and privileges with the practice and licensing boards.

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