Individual provider Active NPI

Kevin Matthew Morse, PA

  • Physician Assistant
  • Rocklin, CA
National Provider Identifier
1164181061
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60456 Issued in CA
Practice address
6544 Lonetree Blvd
Rocklin, CA 95765-5874
Phone
(916) 925-7020
Fax
(916) 925-3680
NPI assigned
Dec 8, 2021
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 60456 CA Primary

Addresses

Primary practice location

6544 Lonetree Blvd
Rocklin, CA 95765-5874

Mailing address

6544 Lonetree Blvd
Rocklin, CA 95765-5874
Phone (916) 925-7020

Other practice location 1

550 Plaza Dr Ste 120
Folsom, CA 95630-4779
Phone (916) 925-7020 ext. 57020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250813003259 CA Practitioner - Physician Assistant 9537667951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1495 River Park Dr
Suite 200
Sacramento, CA 95815-4500

1700 Tribute Rd
Suite 203
Sacramento, CA 95815-4413

308 Greenmore Way
Roseville, CA 95678-7140

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: kmorse235674@hpmg.direct-ci.net

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": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1164181061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6544 LONETREE BLVD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655874",
            "telephone_number": "916-925-7020",
            "fax_number": "916-925-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6544 LONETREE BLVD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655874",
            "telephone_number": "916-925-7020",
            "fax_number": "916-925-3680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Plaza Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956304779",
            "country_code": "US",
            "telephone_number": "916-925-7020 x57020",
            "fax_number": "916-925-3680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORSE",
        "first_name": "KEVIN",
        "middle_name": "MATTHEW",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-08",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "60456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

Verify at the official NPI Registry.