Active NPI
Kettelene Philogene McMorris, APRN
- Nurse Practitioner
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2374100
- Practice address
- 10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111 - Phone
- (772) 345-8100
- NPI assigned
- Jun 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 350474 | NY | |
| Family Nurse Practitioner | 363LF0000X | APRN11007657 | FL | |
| Registered Nurse | 163W00000X | RN9309679 | FL | |
| Nurse Practitioner | 363L00000X | 4704451405 | MI | |
| Nurse Practitioner | 363L00000X | 40756 | TN | |
| Nurse Practitioner | 363L00000X | 5023205 | NC | |
| Nurse Practitioner | 363L00000X | RN2374100 | MA | Primary |
| Nurse Practitioner | 363L00000X | C-APN-0004597-C-NP | CO | |
| Nurse Practitioner | 363L00000X | 277.005077 | IL | |
| Nurse Practitioner | 363L00000X | 17052 | CT | |
| Nurse Practitioner | 363L00000X | 88570 | NM | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11007657 | FL | |
| Nurse Practitioner | 363L00000X | 10057847 | OR | |
| Nurse Practitioner | 363L00000X | 118367-23 | NH | |
| Nurse Practitioner | 363L00000X | 26NJ14912700 | NJ |
Addresses
Primary practice location
10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Mailing address
1860 SW Fountainview Blvd Ste 100
Port Saint Lucie, FL 34986-4528
Phone (754) 366-1406
Other practice location 1
200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 287-5200
Other practice location 2
1860 SW Fountainview Blvd Ste 100
Port Saint Lucie, FL 34986-4528
Phone (772) 207-4900 ext. 61406
Other practice location 3
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 433-4225
Other practice location 4
1000 36th St
Vero Beach, FL 32960-4862
Phone (772) 567-4311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MA, NY, TN, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
241 N Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000
27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000
7691 Poplar Ave
Germantown, TN 38138-3904
Phone (901) 516-1290
951 N Washington Ave
Titusville, FL 32796-2194
Phone (321) 268-6111
Hospital & facility affiliations
- Wynn Hospital
- Methodist Hospitals of Memphis
- Westchester Medical Center
- St Josephs Hospital
- Cape Cod Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9309679 | FL | MD | Registered Nurse |
| 350474 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Health Services Inc | Current | Accepting new patients | |
| Physicians of Cape Cod Hospital | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| New York Medical Physician Associates PC | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| New York Medical Physician Associates PC | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| New York Medical Physician Associates PC | Current | Accepting new patients | |
| Apogee Medical Group, Florida Inc | Current | Accepting new patients | |
| Marlborough Hospitalist Group, PLLC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
1000 36th St
Ste 5105
Vero Beach, FL 32960
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
157 Union St
Marlborough, MA 01752
Phone (508) 481-5000
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 12
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.
-
- Hospitalist Physician
- Poughkeepsie, NY
- NPI 1578316501
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1609850692
-
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Hospitalist Physician
- Marlborough, MA
- NPI 1316639321
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Nurse Practitioner
-
- Multi-Specialty Clinic/Center
- Vero Beach, FL
- NPI 1588298285
-
- Hospitalist Physician
- Margaretville, NY
- NPI 1528869203
-
- Hospitalist Physician
- Utica, NY
- NPI 1619722147
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
-
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
- Children's Hospital
- Germantown, TN
- NPI 1649654450
-
- General Acute Care Hospital
- Utica, NY
- NPI 1205877172
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784937600000",
"number": "1194342048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 SW FOUNTAINVIEW BLVD STE 100",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349864528",
"telephone_number": "754-366-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 SW INNOVATION WAY",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349872111",
"telephone_number": "772-345-8100"
}
],
"practiceLocations": [
{
"address_1": "200 SE Hospital Ave",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349942346",
"country_code": "US",
"telephone_number": "772-287-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1860 SW Fountainview Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Port Saint Lucie",
"state": "FL",
"postal_code": "349864528",
"country_code": "US",
"telephone_number": "772-207-4900 x61406",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-433-4225",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 36th St",
"address_purpose": "LOCATION",
"city": "Vero Beach",
"state": "FL",
"postal_code": "329604862",
"country_code": "US",
"telephone_number": "772-567-4311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMORRIS",
"first_name": "KETTELENE",
"middle_name": "PHILOGENE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-26",
"last_updated": "2026-07-25",
"certification_date": "2026-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "350474",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11007657",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9309679",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704451405",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "40756",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5023205",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2374100",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "C-APN-0004597-C-NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "277.005077",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "17052",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "88570",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11007657",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "10057847",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "118367-23",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ14912700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; 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.