Morgan L Ryan, APN
Individual provider Active NPI Family Nurse Practitioner · Aledo, IL
NPI 1104298314 · NPPES record last updated Oct 27, 2015
Key facts
- NPI
- 1104298314
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.013411 (IL)
- Practice address
- 1007 NW 3Rd St
Aledo, IL 61231-1317 - Phone
- (563) 355-9200
- Fax
- (563) 355-3419
- NPI assigned
- Oct 27, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Osf Multi-Specialty Group
Cardiac Vision LLC
Practice addresses (Care Compare)
1051 W S St
Kewanee, IL 61443-8354
Phone (309) 852-7500
18 W 140 Butterfield Rd
15TH Floor
Oakbrook Terrace, IL 60181-4810
Phone (773) 276-2655
330 SW Adams St
Peoria, IL 61602-1502
Phone (309) 655-2877
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Osf Saint Luke Medical Center
- St Mary Medical Center
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160301002078 | IA | Practitioner - Nurse Practitioner | 2365747201 | Reassigns benefits to 1 organization |
| I20171127003089 | IL | Practitioner - Nurse Practitioner | 2365747201 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.013411 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hammond Henry Dist Hospital | Current |
Accepting new patients | |
| Genesis Health System | Current |
Accepting new patients | |
| Genesis Health System | Current |
Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Cardiac Vision LLC | Current |
Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients |
Locations
865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000
1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287
4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667
1236 E Rusholme St
Ste 150
Davenport, IA 52803
Phone (563) 421-3990
203 W Front St
Annawan, IL 61234
Phone (309) 935-4100
600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431
600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342
1258 W South St
Ste 2
Kewanee, IL 61443
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
330 SW Adams St
Peoria, IL 61602
Phone (309) 402-2978
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
Interoperability endpoints
- morgan.ryan.1@5670.direct.athenahealth.com
- morgan.ryan.1@11922.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.013411 | IL | Yes |
Addresses
Primary practice location
1007 NW 3Rd St
Aledo, IL 61231-1317
Mailing address
1007 NW 3Rd St
Aledo, IL 61231-1317
Phone (309) 582-3789
Other providers in Aledo, IL
- Rajput Medical Clinic LTD
- Mohamed I Rajput
- Prasop Rattananont
- Gayle Reid
- Heather Arlene Roeder
- Kelsi Jo Schnack
- Paula Shannon
- Stuts Drug Store Inc
- Jonathon D Swanson
- Danise Ann Taylor
All providers in Aledo, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.