Individual provider Active NPI

Tracy Leann Morgan, APRN FNP-C

  • Family Nurse Practitioner
  • Poteau, OK
National Provider Identifier
1124676416
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
92818 Issued in OK
Practice address
1301 S Broadway Ave Ste 5
Poteau, OK 74953-5268
Phone
(918) 210-0167
Fax
(918) 564-2719
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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 92818 OK Primary

Addresses

Primary practice location

1301 S Broadway Ave Ste 5
Poteau, OK 74953-5268

Mailing address

1301 S Broadway Ave Ste 5
Poteau, OK 74953-5268
Phone (918) 721-0016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20191122000747 OK Practitioner - Nurse Practitioner 1456783869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1301 S Broadway Ave
Suite 5
Poteau, OK 74953-5268
Phone (918) 721-0016

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meygan Mode Aprn-CNP PLLC Family Current Accepting new patients
Autumn Hembree Aprn-CNP PLLC Current Accepting new patients
Tracy Morgan Aprn-CNP PLLC Family CurrentSince Nov 1, 2019 Accepting new patients
Kimberly Cobb Aprn PLLC Family Current Accepting new patients
T. Jarel Brown Aprn CNP PLLC Current Accepting new patients
Family Care Clinic Inc PastSince Sep 1, 2019 Accepting new patients

Locations

210 W Robert St
Poteau, OK 74953
Phone (918) 649-0069

1301 S Broadway Ave
Ste 5
Poteau, OK 74953
Phone (918) 210-0167

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1124676416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S BROADWAY AVE STE 5",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749535268",
            "telephone_number": "918-721-0016",
            "fax_number": "918-564-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S BROADWAY AVE STE 5",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749535268",
            "telephone_number": "918-210-0167",
            "fax_number": "918-564-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "TRACY",
        "middle_name": "LEANN",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "92818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

Verify at the official NPI Registry.