NPIMap

Individual provider Active NPI

Jamie Lynn Morse, NP-C

  • Family Nurse Practitioner
  • Poplar Bluff, MO
National Provider Identifier
1013262922
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2012023712 Issued in MO
Practice address
2588 N Westwood Blvd
Poplar Bluff, MO 63901-2339
Phone
(573) 778-1277
Fax
(573) 778-1299
NPI assigned
Jul 17, 2012
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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 2012023712 MO Primary

Addresses

Primary practice location

2588 N Westwood Blvd
Poplar Bluff, MO 63901-2339

Mailing address

2588 N Westwood Blvd
Poplar Bluff, MO 63901-2339
Phone (573) 778-1277

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamie.morse.1@8825.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130228000342 MO Practitioner - Nurse Practitioner 9537319447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2360 Katy LN
Poplar Bluff, MO 63901-2300
Phone (573) 712-2546

2588 N Westwood Blvd
Suite B
Poplar Bluff, MO 63901-2339
Phone (573) 778-1277

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2012023712MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Poplar Bluff Regional Medical Center LLC CurrentSince Oct 27, 2012 Accepting new patients
Poplar Bluff Regional Medical Center LLC Current Accepting new patients
Poplar Bluff Regional Medical Center, LLC CurrentSince Oct 27, 2012 Accepting new patients
Poplar Bluff Regional Medical Center LLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

2588 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 778-1277

2588 N Westwood Blvd
Ste B
Poplar Bluff, MO 63901
Phone (573) 778-1277

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

Interoperability endpoints

  • Direct secure messaging: jamie.morse.1@8825.direct.athenahealth.com

Organizations & group practices 5

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

Hospital & facility affiliations 8

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1013262922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2588 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012339",
            "telephone_number": "573-778-1277",
            "fax_number": "573-778-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2588 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012339",
            "telephone_number": "573-778-1277",
            "fax_number": "573-778-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSE",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012023712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie.morse.1@8825.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "address_1": "2588 N Westwood Blvd",
            "city": "Poplar Bluff",
            "state": "MO",
            "country_code": "US",
            "postal_code": "639012339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

Verify at the official NPI Registry.