Individual provider Active NPI

Kelsi Morris, PA-C

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1083412332
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120140 Issued in FL
Practice address
1110 Airport Blvd Ste B
Pensacola, FL 32504-8649
Phone
(508) 438-1136
Fax
(850) 438-1148
NPI assigned
Mar 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1215677 AL
Physician Assistant 363A00000X PA9120140 FL Primary

Addresses

Primary practice location

1110 Airport Blvd Ste B
Pensacola, FL 32504-8649

Mailing address

215 Twin Bridges Rd
Flomaton, AL 36441-5629
Phone (251) 238-7413

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
I20250613000327 FL Practitioner - Physician Assistant 1254842669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerald Coast Center for Neurological DisordersGroup PAC ID 2062417215, 11 clinicians

Practice addresses (Care Compare)

1110 Airport Blvd
Suite B
Pensacola, FL 32504-8608
Phone (850) 438-1136

1110 Airport Blvd
Suite B
Pensacola, FL 32504-8649

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1215677ALMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: k.morris@eccnd.directbygreenway.com

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 3

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": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1083412332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TWIN BRIDGES RD",
            "city": "FLOMATON",
            "state": "AL",
            "postal_code": "364415629",
            "telephone_number": "251-238-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 AIRPORT BLVD STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048649",
            "telephone_number": "508-438-1136",
            "fax_number": "850-438-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KELSI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1215677",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.