Individual provider Active NPI

Morgan Ann Tennis, FNP-BC

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1184465114
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1159666 Issued in TX
Practice address
4808 Yearwood Dr
Midland, TX 79707-3155
Phone
(432) 312-0319
NPI assigned
Jun 4, 2024
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 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 1159666 TX Primary

Addresses

Primary practice location

4808 Yearwood Dr
Midland, TX 79707-3155

Mailing address

4808 Yearwood Dr
Midland, TX 79707-3155
Phone (432) 312-0319

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
I20240816003664 TX Practitioner - Nurse Practitioner 4587102835 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frontera Healthcare Network CurrentSince Aug 6, 2024 Accepting new patients
Frontera Healthcare Network CurrentSince Aug 6, 2024 Accepting new patients
Frontera Healthcare Network Past Accepting new patients

Locations

2026 S Bridge St
Brady, TX 76825
Phone (325) 597-0102

1003 College St
Junction, TX 76849
Phone (325) 446-3233

Interoperability endpoints

  • Direct secure messaging: morgan.tennis.p6@direct.chdi.nextgenshare.com

Organizations & group practices 3

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": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1184465114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 YEARWOOD DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073155",
            "telephone_number": "432-312-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 YEARWOOD DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073155",
            "telephone_number": "432-312-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNIS",
        "first_name": "MORGAN",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1159666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.