Kelly A Morgan, MD
Individual provider Active NPI Anesthesiology Physician · Bangor, ME
NPI 1114096500 · NPPES record last updated Sep 25, 2024
Key facts
- NPI
- 1114096500
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- MD20114 (ME)
- Practice address
- 360 Broadway
Bangor, ME 04401-3979 - Phone
- (207) 262-1464
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Colorado School of Medicine, Denver, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Paragon Anesthesia PC
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 390-0451
Hospital & facility affiliations
- Barnes Jewish Hospital
- Wellmont Bristol Regional Medical Center
- Johnson City Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 71.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in SD, TX, MT, MO, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190215001685 | SD | Practitioner - Anesthesiology | 7012011356 | Reassigns benefits to 2 organizations |
| I20230321000246 | TX | Practitioner - Anesthesiology | 7012011356 | Reassigns benefits to 3 organizations |
| I20240214003808 | MT | Practitioner - Anesthesiology | 7012011356 | Reassigns benefits to 1 organization |
| I20241003000493 | MO | Practitioner - Anesthesiology | 7012011356 | Reassigns benefits to 1 organization |
| I20241127000603 | TN | Practitioner - Anesthesiology | 7012011356 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20114 | ME | MD | Anesthesiology Physician |
| 2024037834 | MO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Anesthesia Partners, PLLC | Anesthesiology | Current |
Accepting new patients |
| Black Hills Surgical Hospital, LLC | Anesthesiology | Current |
Accepting new patients |
| Billings Clinic | Current | Accepting new patients | |
| Washington University | Current |
Accepting new patients | |
| Resource Anesthesiology Associates of TN PC | Anesthesiology | Current |
Accepting new patients |
| Billings Clinic | Current |
Accepting new patients | |
| Billings Clinic | Current |
Accepting new patients | |
| Washington University | Current |
Accepting new patients | |
| Grasshopper Anesthesia Services PLLC | Current |
Accepting new patients | |
| Black Hills Surgical Hospital, LLC | Current |
Accepting new patients | |
| Sound Physicians Anesthesiology of Texas PLLC | Anesthesiology | Current |
Accepting new patients |
| Black Hills Surgical Hospital, LLC | Current |
Accepting new patients | |
| East Tennessee Ambulatory Surgery Center LLC | Current |
Accepting new patients | |
| Paragon Anesthesia PC | Anesthesiology | Current |
Accepting new patients |
| Singing River Health System | Past | Accepting new patients | |
| Black Hills Surgical Hospital, LLP | Past | Accepting new patients | |
| Aurora Medical Center Bay Area, Inc | Past | Accepting new patients |
Locations
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700
1 Barnes Hsp Plz
Saint Louis, MO 63110
Phone (314) 273-4966
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642
216 Anamaria Dr
Rapid City, SD 57701
Phone (605) 388-9440
1868 Lombardy Dr
Rapid City, SD 57703
Phone (605) 721-4900
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451
1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000
700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102
7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000
2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777
703 E Marshall Ave
Ste 2000
Longview, TX 75601
Phone (903) 236-5300
323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488
3610 N University Dr
Nacogdoches, TX 75965
Phone (936) 254-4703
1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611
2555 Jimmy Johnson Blvd
#O
Port Arthur, TX 77640
Phone (409) 724-7389
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400
2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600
Interoperability endpoints
- kmorgan44509@mlh.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD20114 | ME | Yes |
| Anesthesiology Physician | 207L00000X | 2024037834 | MO |
Addresses
Primary practice location
360 Broadway
Bangor, ME 04401-3979
Mailing address
324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (207) 482-7800
Other practice location 1
1 Barnes Jewish Hospital Plz Dept Of
Saint Louis, MO 63110-1003
Phone (800) 862-9980
Other providers in Bangor, ME
- Michael Moreau
- Sarah Moreau
- Olive Morelli
- Gary Moretti
- Danielle Katharine Morgan
- Renee D. Morin
- Scott A Morin
- Melinda M Morissette
- Kevin Morneault
- Jennifer Rose Morris
All providers in Bangor, ME · Anesthesiology Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2024. 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.