Individual provider Active NPI

Morgan Bliss Noble, APRN

  • Family Nurse Practitioner
  • Manila, AR
National Provider Identifier
1285244178
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
126243 Issued in AR
Practice address
3644 Hwy 18 Bypass Ste. B
Manila, AR 72442-7244
Phone
(870) 561-3300
Fax
(870) 561-3307
NPI assigned
Aug 5, 2020
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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 126243 AR Primary

Addresses

Primary practice location

3644 Hwy 18 Bypass Ste. B
Manila, AR 72442-7244

Mailing address

P.O. Box 910
Manila, AR 72442
Phone (870) 561-3300

Other identifiers 4

IdentifierTypeStateIssuer
157742729MedicaidAR
166506002MedicaidAR
187113002MedicaidAR
214000002MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20200924000452 AR Practitioner - Nurse Practitioner 3577982552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T W Wagner IncGroup PAC ID 1153359096, 9 clinicians

Practice addresses (Care Compare)

1001 N 6TH St
Wagner Medical Clinic
Blytheville, AR 72315-1707
Phone (870) 281-2530

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
T W Wagner Inc CurrentSince Sep 30, 2020 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
St Bernards Physician Clinics, Inc. CurrentSince Aug 5, 2022 Accepting new patients
T W Wagner Inc Family CurrentSince Sep 30, 2020 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Aug 5, 2022 Accepting new patients
T W Wagner Inc Past Accepting new patients

Locations

1001 N 6th St
Blytheville, AR 72315
Phone (870) 281-2530

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

730 Greenwood Ave
Lepanto, AR 72354
Phone (870) 475-3825

3644 W State Highway 18
Manila, AR 72442
Phone (870) 561-1500

3644 W State Highway 18
Ste B
Manila, AR 72442
Phone (870) 561-3300

Interoperability endpoints

  • Direct secure messaging: mbnoble2@sbpc.medalliesdirect.net

Organizations & group practices 6

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 1

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": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1285244178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 910",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "72442",
            "telephone_number": "870-561-3300",
            "fax_number": "870-561-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3644 HWY 18 BYPASS STE. B",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "724427244",
            "telephone_number": "870-561-3300",
            "fax_number": "870-561-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "MORGAN",
        "middle_name": "BLISS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "126243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157742729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166506002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187113002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214000002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manila, AR

Sources for this page

Verify at the official NPI Registry.