Individual provider Active NPI

Morgan Victoria Nevola, APRN, FNP-C

  • Family Nurse Practitioner
  • Garden City, KS
National Provider Identifier
1104555457
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
81248 Issued in KS
Practice address
911 N Main St
Garden City, KS 67846-5561
Phone
(620) 276-8820
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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 81248 KS Primary

Addresses

Primary practice location

911 N Main St
Garden City, KS 67846-5561

Mailing address

701 Cole Cir
Garden City, KS 67846-8518
Phone (785) 657-7099

Other names 1

  • Morgan Victoria Shepard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20220719002837 KS Practitioner - Nurse Practitioner 4880075068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonspirit Kansas IncGroup PAC ID 4789595844, 62 clinicians

Practice addresses (Care Compare)

100 W Ross Blvd
Suite 1B
Dodge City, KS 67801-7217
Phone (620) 371-5576

911 N Main St
SCHP Plaza Medical
Garden City, KS 67846-5561
Phone (620) 276-8201

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81248KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Catherine Hospital CurrentSince Jul 15, 2022 Accepting new patients
Commonspirit Kansas, Inc. CurrentSince Jul 15, 2022 Accepting new patients
Commonspirit Kansas, Inc. Current Accepting new patients
St. Catherine Hospital Past Accepting new patients
Commonspirit Kansas, Inc. Past Accepting new patients

Locations

100 W Ross Blvd
Ste 1B
Dodge City, KS 67801
Phone (620) 371-5576

911 N Main St
Garden City, KS 67846
Phone (316) 276-8201

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

Organizations & group practices 5

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 2

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1104555457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COLE CIR",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678468518",
            "telephone_number": "785-657-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N MAIN ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465561",
            "telephone_number": "620-276-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVOLA",
        "first_name": "MORGAN",
        "middle_name": "VICTORIA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "81248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "SHEPARD",
            "middle_name": "VICTORIA",
            "credential": "APRN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.