Individual provider Active NPI

Nicole E Morgan, PA-C

  • Physician Assistant
  • Tempe, AZ
National Provider Identifier
1053085779
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10987 Issued in AZ
Practice address
2145 E Baseline Rd Ste 104
Tempe, AZ 85283-1546
Phone
(602) 349-8117
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085.008675 IL
Physician Assistant 363A00000X 10987 AZ Primary

Addresses

Primary practice location

2145 E Baseline Rd Ste 104
Tempe, AZ 85283-1546

Mailing address

2145 E Baseline Rd Ste 104
Tempe, AZ 85283-1546
Phone (602) 349-8117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220114000443 IL Practitioner - Physician Assistant 7214329689 Reassigns benefits to 2 organizations
I20250417002149 AZ Practitioner - Physician Assistant 7214329689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

1066 N Power Rd
Suite 101
Mesa, AZ 85205-5709
Phone (480) 807-0130

1155 W Ocotillo Rd
Suite 4
Chandler, AZ 85248-3201
Phone (480) 374-7400

1394 W 16TH St
Yuma, AZ 85364-4430
Phone (928) 539-0055

2145 E Baseline Rd
Tempe, AZ 85283-1546
Phone (480) 704-4411

6343 S Higley Rd
Gilbert, AZ 85298-4339
Phone (480) 748-2712

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10987AZMDAddiction (Substance Use Disorder) Counselor
085.008675ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC Current Accepting new patients

Locations

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

2145 E Baseline Rd
Ste 104
Tempe, AZ 85283
Phone (480) 704-4411

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

Interoperability endpoints

  • Direct secure messaging: nicole.morganpac.p1@direct.nextcare.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1053085779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 E BASELINE RD STE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831546",
            "telephone_number": "602-349-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 E BASELINE RD STE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831546",
            "telephone_number": "602-349-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "NICOLE",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.008675",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.