Individual provider Active NPI

Kristen L. Morton, P.A.

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1154610624
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2838 N Loop 1604 E
Suite 104
San Antonio, TX 78232-1711
Phone
(210) 495-2117
Fax
(888) 893-4363
NPI assigned
Apr 5, 2011
Last updated
Jan 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

2838 N Loop 1604 E
Suite 104
San Antonio, TX 78232-1711

Mailing address

2838 N Loop 1604 E
Ste 104
San Antonio, TX 78232-1711
Phone (210) 495-2117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110706000246 TX Practitioner - Physician Assistant 7618155029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Texas HSC, College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. Rogers Medical Group PAGroup PAC ID 7315907565, 7 clinicians

Practice addresses (Care Compare)

24200 Ih 10 W
107 Dr. Rogers Wellness and Weightloss
San Antonio, TX 78257-1150
Phone (210) 495-2117

2838 N Loop 1604
Suite 104
San Antonio, TX 78232-1712

2838 N Loop 1604 E
San Antonio, TX 78232-1712
Phone (210) 495-2117

5539 NW Loop 1604
104 Dr Rogers Wellness
San Antonio, TX 78253-7319
Phone (210) 495-2117

National Provider Directory

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1154610624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 N LOOP 1604 E",
            "address_2": "STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321711",
            "telephone_number": "210-495-2117",
            "fax_number": "888-893-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 N LOOP 1604 E",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321711",
            "telephone_number": "210-495-2117",
            "fax_number": "888-893-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "KRISTEN",
        "middle_name": "L.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.