Active NPI
Jessica Ann Morgan, APNP
- Family Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1104985308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5371-33
- Practice address
- 1245 N Broadway
Milwaukee, WI 53202-2507 - Phone
- (414) 277-4555
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R156626-8 | MN | |
| Family Nurse Practitioner | 363LF0000X | 5371-33 | WI | Primary |
Addresses
Primary practice location
1245 N Broadway
Milwaukee, WI 53202-2507
Mailing address
1245 N Broadway
Milwaukee, WI 53202-2507
Phone (414) 277-4555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363LP2300X | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R156626-8 | MN | MD | Family Nurse Practitioner |
| 5371-33 | WI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1104985308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 N BROADWAY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022507",
"telephone_number": "414-277-4555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 N BROADWAY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022507",
"telephone_number": "414-277-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "JESSICA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R156626-8",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "5371-33",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "363LP2300X",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.