Active NPI
Tod Michael Morrison, FNP
- Family Nurse Practitioner
- Logan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5129925-3102
- Practice address
- 630 E 1400 N Ste 150
Logan, UT 84341-2549 - Phone
- (435) 915-4465
- Fax
- (435) 799-3664
- NPI assigned
- Jun 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5129925-3102 | UT | Primary |
Addresses
Primary practice location
630 E 1400 N Ste 150
Logan, UT 84341-2549
Mailing address
740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone (208) 542-9111
Other practice location 1
609 S Highway 91 # A
Richmond, UT 84333-1208
Phone (435) 294-3215
Other practice location 2
939 US-89 Suite 1
Logan, UT 84321-6581
Phone (435) 787-8504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130819000654 | UT | Practitioner - Nurse Practitioner | 1355583451 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rocky Mountain Emergency Specialists LLCSterling Provider Group
Practice addresses (Care Compare)
1400 N 500
Emergency Department
Logan, UT 84341-2455
Phone (435) 716-1000
630 E 1400
Suite 150
Logan, UT 84341-2549
Phone (435) 915-4465
Hospital & facility affiliations
- Intermountain Health Logan Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5129925-3102 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Provider Group | Current | Accepting new patients | |
| Sterling Provider Group | Current | Accepting new patients | |
| Rocky Mountain Emergency Specialists LLC | Current | Accepting new patients |
Locations
740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111
939 S State Highway 89
Ste 1
Logan, UT 84321
Phone (435) 787-8504
630 E 1400 N
Ste 150
North Logan, UT 84341
Phone (435) 787-8504
1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000
609 S Highway 91
#A
Richmond, UT 84333
Phone (435) 294-3215
609 S Highway 91
Ste A
Richmond, UT 84333
47 Doc Perkes
Afton, WY 83110
Phone (307) 734-5864
1952 Harrison Dr
Evanston, WY 82930
Phone (307) 288-0404
2761 Commercial Way
Rock Springs, WY 82901
Phone (307) 382-3064
Organizations & group practices 10
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.
-
- Rural Health Clinic/Center
- Richmond, UT
- NPI 1164066015
-
- Rural Health Clinic/Center
- Evanston, WY
- NPI 1164044962
-
- Rural Health Clinic/Center
- Rexburg, ID
- NPI 1407564123
-
- Rural Health Clinic/Center
- Chubbuck, ID
- NPI 1477200244
-
- Rural Health Clinic/Center
- Burley, ID
- NPI 1659915593
-
- Rural Health Clinic/Center
- Hailey, ID
- NPI 1912541863
-
- Rural Health Clinic/Center
- Idaho Falls, ID
- NPI 1952923765
-
- Urgent Care Clinic/Center
- Butte, MT
- NPI 1871220038
Hospital & facility affiliations 1
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": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1134567282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 S WOODRUFF AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834015285",
"telephone_number": "208-542-9111",
"fax_number": "208-542-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E 1400 N STE 150",
"city": "LOGAN",
"state": "UT",
"postal_code": "843412549",
"telephone_number": "435-915-4465",
"fax_number": "435-799-3664"
}
],
"practiceLocations": [
{
"address_1": "609 S Highway 91 # A",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "UT",
"postal_code": "843331208",
"country_code": "US",
"telephone_number": "435-294-3215",
"fax_number": "435-294-2960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "939 US-89 Suite 1",
"address_purpose": "LOCATION",
"city": "Logan",
"state": "UT",
"postal_code": "843216581",
"country_code": "US",
"telephone_number": "435-787-8504",
"fax_number": "435-799-3664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORRISON",
"first_name": "TOD",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-11",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "5129925-3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.