Individual provider Active NPI

Morgan Daleann Utley, FNP-C

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1144055690
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0037480 Issued in OH
Practice address
4530 Eastgate Blvd
Cincinnati, OH 45245-1266
Phone
(513) 752-1999
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 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 APRN.CNP.0037480 OH Primary

Addresses

Primary practice location

4530 Eastgate Blvd
Cincinnati, OH 45245-1266

Mailing address

147 N High St
Williamsburg, OH 45176-1129
Phone (513) 405-4585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241010002021 OH Practitioner - Nurse Practitioner 9335671783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

4530 Eastgate Blvd
B 616
Cincinnati, OH 45245-1266
Phone (513) 752-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0037480OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc CurrentSince Sep 4, 2024 Accepting new patients

Locations

4530 Eastgate Blvd
#B616
Cincinnati, OH 45245
Phone (513) 752-1999

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

4530 Eastgate Blvd
Cincinnati, OH 45245
Phone (513) 752-1999

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1144055690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 N HIGH ST",
            "city": "WILLIAMSBURG",
            "state": "OH",
            "postal_code": "451761129",
            "telephone_number": "513-405-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 EASTGATE BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451266",
            "telephone_number": "513-752-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTLEY",
        "first_name": "MORGAN",
        "middle_name": "DALEANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0037480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.