Individual provider Active NPI

Connie Jo Morris, MSN, CRNP, FNP-BC

  • Family Nurse Practitioner
  • Cumberland, MD
National Provider Identifier
1013224534
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN088399 Issued in MD
Practice address
925 Bishop Walsh Rd
Cumberland, MD 21502-1845
Phone
(301) 759-3800
Fax
(301) 777-7455
NPI assigned
Sep 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN088399 MD Primary

Addresses

Primary practice location

925 Bishop Walsh Rd
Cumberland, MD 21502-1845

Mailing address

925 Bishop Walsh Rd
Cumberland, MD 21502-1845
Phone (301) 759-3800

Other identifiers 1

IdentifierTypeStateIssuer
4207751 00MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111123000412 MD Practitioner - Nurse Practitioner 1759555063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitioncare LLCGroup PAC ID 8527213396, 7 clinicians

Practice addresses (Care Compare)

10301 Christie Rd NE
Cumberland, MD 21502-8326
Phone (301) 724-1400

Hospital & facility affiliations

  • Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.2
Improvement activities
40
Cost
73.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN088399MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transitioncare LLC Current Accepting new patients
Transitioncare LLC CurrentSince Dec 1, 2015 Accepting new patients
Transitioncare LLC CurrentSince Dec 1, 2015 Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients

Locations

10301 Christie Rd NE
Cumberland, MD 21502
Phone (301) 724-1400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1013224534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 BISHOP WALSH RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021845",
            "telephone_number": "301-759-3800",
            "fax_number": "301-777-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 BISHOP WALSH RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021845",
            "telephone_number": "301-759-3800",
            "fax_number": "301-777-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "CONNIE",
        "middle_name": "JO",
        "credential": "MSN, CRNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "RN088399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4207751 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.