Individual provider Active NPI

Peter Morris, PMHNP-BC, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceville, NJ
National Provider Identifier
1275085649
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00672800 Issued in NJ
Practice address
2550 Brunswick Pike
Lawrenceville, NJ 08648-4103
Phone
(609) 396-8877
NPI assigned
Nov 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP018829 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00672800 NJ Primary

Addresses

Primary practice location

2550 Brunswick Pike
Lawrenceville, NJ 08648-4103

Mailing address

1099 General Knox Rd
Washington Crossing, PA 18977-1369

Other practice location 1

1099 General Knox Rd
Washington Crossing, PA 18977-1369
Phone (215) 385-3078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20171023000247 NJ Practitioner - Nurse Practitioner 2668741125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Oaks Integrated CareGroup PAC ID 6709961857, 32 clinicians

Practice addresses (Care Compare)

770 Woodlane Rd
Westampton, NJ 08060-3804
Phone (609) 267-5928

79 Chestnut St
Lumberton, NJ 08048-1134
Phone (609) 518-5470

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00672800NJMDPsychiatric/Mental Health Nurse Practitioner
SP018829PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oaks Integrated Care CurrentSince Aug 1, 2017 Accepting new patients

Locations

79 Chestnut St
Lumberton, NJ 08048
Phone (609) 518-5470

2550 US Highway 1
Trenton, NJ 08648
Phone (609) 396-8877

770 Woodlane Rd
Westampton, NJ 08060
Phone (606) 267-5928

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1275085649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 GENERAL KNOX RD",
            "city": "WASHINGTON CROSSING",
            "state": "PA",
            "postal_code": "189771369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 BRUNSWICK PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484103",
            "telephone_number": "609-396-8877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1099 General Knox Rd",
            "address_purpose": "LOCATION",
            "city": "Washington Crossing",
            "state": "PA",
            "postal_code": "189771369",
            "country_code": "US",
            "telephone_number": "215-385-3078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "PETER",
        "credential": "PMHNP-BC, APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-01",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP018829",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00672800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.