Individual provider Active NPI

Matthew Clayton Morgan, ARNP

  • Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1043494602
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9193572 Issued in FL
Practice address
2111 SW 20TH PL
Ocala, FL 34471-7734
Phone
(352) 622-4251
Fax
(352) 622-0102
NPI assigned
Dec 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9193572 FL Primary

Addresses

Primary practice location

2111 SW 20TH PL
Ocala, FL 34471-7734

Mailing address

2111 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251

Other identifiers 3

IdentifierTypeStateIssuer
921112584426-001OtherFLCCN
003528400MedicaidFL
Y07RCOtherFLBCBS OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090124000103 FL Practitioner - Nurse Practitioner 8123182821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute of Central Florida LLCGroup PAC ID 2769587146, 67 clinicians

Practice addresses (Care Compare)

2105 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251

2111 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251

6555 SW State Rd
Suite 200
Ocala, FL 34476-5575
Phone (352) 622-4251

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Institute of Central Florida, LLC CurrentSince Apr 1, 2015 Accepting new patients
Cardiovascular Institute of Central Florida, LLC CurrentSince Apr 1, 2015 Accepting new patients

Locations

2111 SW 20th Pl
Ocala, FL 34471
Phone (352) 547-3399

1805 SE Lake Weir Ave
Ocala, FL 34471
Phone (352) 307-1616

4600 SW 46th Ct
Ste 250
Ocala, FL 34474
Phone (352) 291-2400

1800 SE 17th St
Ste 700
Ocala, FL 34471
Phone (352) 789-6008

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: matthew.morgan.1@29679.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1043494602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 SW 20TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717734",
            "telephone_number": "352-622-4251",
            "fax_number": "352-622-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 SW 20TH PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717734",
            "telephone_number": "352-622-4251",
            "fax_number": "352-622-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "MATTHEW",
        "middle_name": "CLAYTON",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9193572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "921112584426-001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003528400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "Y07RC",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.