Individual provider Active NPI

Morgan John Conwell, PA-C

  • Physician Assistant
  • Worcester, MA
National Provider Identifier
1235589037
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA7835 Issued in MA
Practice address
55 Lake Ave N
Worcester, MA 01655-0002
Phone
(508) 421-1400
Fax
(508) 421-1490
NPI assigned
Jun 13, 2016
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020133 NY
Physician Assistant 363A00000X PA7835 MA Primary

Addresses

Primary practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

PO Box 415348
Boston, MA 02241-5348

Other practice location 1

600 Roe Ave
Elmira, NY 14905-1629
Phone (607) 737-4508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161025001771 NY Practitioner - Physician Assistant 1456639590 Reassigns benefits to 2 organizations
I20210319000048 MA Practitioner - Physician Assistant 1456639590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Centers of Central Massachusetts LLCGroup PAC ID 1557639366, 18 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

Practice addresses (Care Compare)

1400 Cambridge St
Cambridge, MA 02139-1105
Phone (617) 714-4534

348 Greenwood St
Worcester, MA 01607-1728
Phone (774) 420-2103

484 Route 134
South Dennis, MA 02660-3423
Phone (508) 694-7901

500 Lincoln St
Worcester, MA 01605-1916
Phone (774) 420-2111

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

757 Boston Post Rd E
Marlborough, MA 01752-3704
Phone (508) 630-8989

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA7835MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Centers of Central Massachusetts, LLC CurrentSince May 3, 2022 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Aug 1, 2020 Accepting new patients
Carewell Urgent Care Centers of Ma, PC CurrentSince Dec 1, 2021 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Nes Medical Services of New York PC PastSince May 22, 2022 Accepting new patients

Locations

757 Boston Post Rd E
Marlborough, MA 01752
Phone (508) 630-8989

484 Route 134
South Dennis, MA 02660
Phone (508) 694-7901

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

10 Ferry St
Ste 302
Concord, NH 03301

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1235589037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016550002",
            "telephone_number": "508-421-1400",
            "fax_number": "508-421-1490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Roe Ave",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149051629",
            "country_code": "US",
            "telephone_number": "607-737-4508",
            "fax_number": "607-735-5738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONWELL",
        "first_name": "MORGAN",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020133",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.