Dustin Shane Morton, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2020004280 Issued in MO

Practice address

203 S Washington St
Farmington, MO 63640-1836

Phone

(573) 664-1047

Fax

(573) 218-0716

NPI assigned

Jan 9, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Madison Medical Center Hospital, Fredericktown, MO, CCN 261302

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• DSM Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmington, MO
  • NPI 1891565180
  Medicare reassignment NPD Authorized official
• Mineral Area Psychiatric Services LLC

  • Psychiatry Physician
  • Farmington, MO
  • NPI 1306379482
  Medicare reassignment NPD
• State of Missouri

  • Psychiatry Physician
  • Farmington, MO
  • NPI 1437106705
  Medicare reassignment NPD
• State of Missouri

  • Psychiatry Physician
  • Kansas City, MO
  • NPI 1386198448
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Madison Medical Center Stockhoff Memorial Nursing Home

  • Critical Access Hospital
  • Fredericktown, MO
  • NPI 1720163025
  Care Compare affiliation

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1164062998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1255",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636404176",
            "telephone_number": "573-664-1047",
            "fax_number": "573-218-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S WASHINGTON ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401836",
            "telephone_number": "573-664-1047",
            "fax_number": "573-218-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "DUSTIN",
        "middle_name": "SHANE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-09",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2020004280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Colwick Moore, LPC
• Teresa Sue Moore, LPC
• Tracey L. Moore
• Sherri Moreland
• Bethany A Morgan, LPC
• Tara Mossinghoff
• Mark Anthony Moyers, R.PH.
• Paul Ray Moyers, RPH
• Natalie Mucci, BS
• Benjamin Murphy, D.C

• Psychiatric/Mental Health Nurse Practitioner in Farmington, MO
• Providers in Farmington, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.