Individual provider Active NPI

Kelly Anne Morgan, FNP

  • Family Nurse Practitioner
  • Novi, MI
National Provider Identifier
1043804735
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704272231 Issued in MI
Practice address
39500 W 10 Mile Rd
Novi, MI 48375-2947
Phone
(248) 476-0035
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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 4704272231 MI Primary

Addresses

Primary practice location

39500 W 10 Mile Rd
Novi, MI 48375-2947

Mailing address

9379 Liberty CT
Livonia, MI 48150-3496
Phone (734) 751-8744

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Carefusion

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20211119000160 MI Practitioner - Nurse Practitioner 1153710777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Physicians, P.C.Group PAC ID 0648372425, 6 clinicians

Practice addresses (Care Compare)

39500 W 10 Mile Rd
Suite 100
Novi, MI 48375-2947
Phone (248) 476-0035

Hospital & facility affiliations

  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Physicians, P.C. CurrentSince Nov 3, 2021 Accepting new patients

Locations

39500 W 10 Mile Rd
Ste 100
Novi, MI 48375
Phone (248) 476-0035

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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 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": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1043804735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9379 LIBERTY CT",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503496",
            "telephone_number": "734-751-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39500 W 10 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752947",
            "telephone_number": "248-476-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704272231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Carefusion",
            "affiliation": "N",
            "address_1": "39500 W 10 Mile Rd",
            "city": "Novi",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483752947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.