Individual provider Active NPI

Morgan L Passero, CRNP

  • Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1063876357
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60933727 Issued in WA
Practice address
6240 Tacoma Mall Blvd Ste 101
Tacoma, WA 98409-6819
Phone
(253) 271-9720
Fax
(253) 212-3372
NPI assigned
Apr 12, 2016
Last updated
Jul 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 64689 ID
Nurse Practitioner 363L00000X APRN11007552 FL
Nurse Practitioner 363L00000X 827552 NV
Nurse Practitioner 363L00000X 202002029NP-PP OR
Nurse Practitioner 363L00000X 1-127947 AL
Nurse Practitioner 363L00000X AP60933727 WA Primary

Addresses

Primary practice location

6240 Tacoma Mall Blvd Ste 101
Tacoma, WA 98409-6819

Mailing address

927 Franklin St SE
Huntsville, AL 35801-4306
Phone (256) 539-2728

Other practice location 1

927 Franklin St SE
Huntsville, AL 35801-4306
Phone (256) 539-2728

Other practice location 2

9300 W Overland Rd Ste 150
Boise, ID 83709-8263
Phone (208) 268-8024

Other practice location 3

3841 W Charleston Blvd Ste 203
Las Vegas, NV 89102-1858
Phone (702) 848-4443

Other practice location 4

8060 SW Pfaffle St
Portland, OR 97223-8489
Phone (503) 714-8987

Other practice location 5

970 Lake Carillon Dr Ste 300
St Petersburg, FL 33716-1130
Phone (813) 551-1015

Other practice location 6

970 Lake Carillon Dr Ste 300
St Petersburg, FL 33716-1130
Phone (813) 551-1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, WA, NV, OR, FL, VA, DC, GA, CO, TX, AZ, MA12 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 12

Enrollment IDStateProvider typePAC IDDetails
I20160531000338 AL Practitioner - Nurse Practitioner 6204126576 Reassigns benefits to 1 organization
I20190530000855 WA Practitioner - Nurse Practitioner 6204126576 Reassigns benefits to 1 organization
I20200717001882 NV Practitioner - Nurse Practitioner 6204126576
I20200717002248 OR Practitioner - Nurse Practitioner 6204126576 Reassigns benefits to 1 organization
I20200814002343 FL Practitioner - Nurse Practitioner 6204126576 Reassigns benefits to 1 organization
I20220203002740 VA Practitioner - Nurse Practitioner 6204126576 Reassigns benefits to 1 organization
I20220906002538 DC Practitioner - Nurse Practitioner 6204126576 Reassigns benefits to 1 organization
I20220913003509 GA Practitioner - Nurse Practitioner 6204126576 Reassigns benefits to 1 organization
I20230413001552 CO Practitioner - Nurse Practitioner 6204126576 Reassigns benefits to 1 organization
I20230508001235 TX Practitioner - Nurse Practitioner 6204126576
I20230519002692 AZ Practitioner - Nurse Practitioner 6204126576 Reassigns benefits to 1 organization
I20230609002093 MA Practitioner - Nurse Practitioner 6204126576 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11007552FLMDNurse Practitioner
827552NVMDNurse Practitioner
AP60933727WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth Washington PC CurrentSince May 5, 2019 Accepting new patients
Dispatchhealth Advanced Care - Washington PC CurrentSince Oct 21, 2020 Accepting new patients
Dispatchhealth-Florida Inc. CurrentSince Aug 1, 2021 Accepting new patients
QC Wellness, LLC CurrentSince Sep 19, 2018 Accepting new patients
Dispatchhealth-Florida Inc. CurrentSince Aug 15, 2020 Accepting new patients
True North Health Navigation LLC CurrentSince Aug 1, 2022 Accepting new patients
Dispatchhealth Massachusetts PC CurrentSince May 3, 2023 Accepting new patients
Dispatchhealth-Texas P a CurrentSince Apr 17, 2023 Accepting new patients
Dispatchhealth-Oregon PC CurrentSince Jun 15, 2020 Accepting new patients
True North Health Navigation LLC PastSince May 28, 2022 Accepting new patients
Excella Home Health Agency, LLC PastSince May 3, 2023 Accepting new patients
HH Health System - the Orthopaedic Center, LLC PastSince Aug 13, 2023 Accepting new patients

Locations

7500 Highway 72 W
Madison, AL 35758
Phone (256) 517-8317

3455 Ringsby Ct
Ste 102
Denver, CO 80216
Phone 3035001518 ext. 30350

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230

7925 NW 12th St
Ste 129
Doral, FL 33126
Phone (786) 644-6413

8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434

3200 SW 34th Ave
Ste 702
Ocala, FL 34474

5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015

1 W Court Sq
Ste 750
Decatur, GA 30030
Phone (404) 494-7888

5885 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (678) 321-8546

123 Park Ave
West Springfield, MA 01089
Phone (413) 732-8700

205 SE Spokane St
Ste 300
Portland, OR 97202
Phone (503) 388-4255

8060 SW Pfaffle St
Ste 102
Tigard, OR 97223
Phone (503) 714-8987

211 Highland Cross Dr
Houston, TX 77073
Phone (713) 422-2920

2201 N Central Expy
Ste 125
Richardson, TX 75080
Phone (214) 377-1790

7560 Glenview Dr
Ste 100
Richland Hills, TX 76180
Phone (817) 435-1970

4335 W Piedras Dr
Ste 101
San Antonio, TX 78228
Phone (210) 891-5235

1411 4th Ave
Seattle, WA 98101
Phone (253) 271-9720

920 N Argonne Rd
Ste 115
Spokane Valley, WA 99212
Phone (509) 408-2107

6240 Tacoma Mall Blvd
Ste 101
Tacoma, WA 98409
Phone (253) 271-9720

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1063876357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014306",
            "telephone_number": "256-539-2728",
            "fax_number": "256-539-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 TACOMA MALL BLVD STE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984096819",
            "telephone_number": "253-271-9720",
            "fax_number": "253-212-3372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "927 Franklin St SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014306",
            "country_code": "US",
            "telephone_number": "256-539-2728",
            "fax_number": "256-539-2666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 W Overland Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837098263",
            "country_code": "US",
            "telephone_number": "208-268-8024",
            "fax_number": "855-398-9683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3841 W Charleston Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021858",
            "country_code": "US",
            "telephone_number": "702-848-4443",
            "fax_number": "702-805-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8060 SW Pfaffle St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972238489",
            "country_code": "US",
            "telephone_number": "503-714-8987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "970 Lake Carillon Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337161130",
            "country_code": "US",
            "telephone_number": "813-551-1015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "970 Lake Carillon Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337161130",
            "country_code": "US",
            "telephone_number": "813-551-1015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASSERO",
        "first_name": "MORGAN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "64689",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11007552",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "827552",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202002029NP-PP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-127947",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60933727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.