Individual provider Active NPI

Morgan James Manulik, PA-C

  • Physician Assistant
  • Durango, CO
National Provider Identifier
1124271960
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0003847 Issued in CO
Practice address
1010 Three Springs Blvd Ste 290
Durango, CO 81301-8296
Phone
(970) 764-9225
Fax
(970) 764-9226
NPI assigned
Oct 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2010-0072 NM
Physician Assistant 363A00000X PA.0003847 CO Primary
Physician Assistant 363A00000X TX

Addresses

Primary practice location

1010 Three Springs Blvd Ste 290
Durango, CO 81301-8296

Mailing address

1010 Three Springs Blvd Ste 290
Durango, CO 81301-8296
Phone (806) 778-1514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20131218001065 CO Practitioner - Physician Assistant 7810050689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwestern Colorado Ear Nose and ThroatGroup PAC ID 7719980580, 7 clinicians

Practice addresses (Care Compare)

1 Mercado St
Suite 205
Durango, CO 81301-7310
Phone (970) 385-7272

64 Far View Rd
Durango, CO 81303-7400
Phone (970) 671-7577

Hospital & facility affiliations

  • Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013
  • Southwest Memorial Hospital Hospital, Cortez, CO, CCN 061327
  • Pagosa Springs Medical Center Hospital, Pagosa Springs, CO, CCN 061328

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
99.27
Improvement activities
40
Cost
52.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0003847COMDPhysician Assistant
PA2010-0072NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Peace LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFBEAA/Endpoint/IFBEAA

Organizations & group practices 3

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 8

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": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1124271960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 THREE SPRINGS BLVD STE 290",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018296",
            "telephone_number": "806-778-1514",
            "fax_number": "970-385-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 THREE SPRINGS BLVD STE 290",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018296",
            "telephone_number": "970-764-9225",
            "fax_number": "970-764-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANULIK",
        "first_name": "MORGAN",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2010-0072",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003847",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.