Individual provider Active NPI

Morgan Talbot Fortier

  • Physician Assistant
  • Worcester, MA
National Provider Identifier
1295394906
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA7480 Issued in MA
Practice address
9 Quaker Rd
Worcester, MA 01602-2260
Phone
(978) 906-1330
NPI assigned
Jun 7, 2019
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA7480 MA Primary

Addresses

Primary practice location

9 Quaker Rd
Worcester, MA 01602-2260

Mailing address

9 Quaker Rd
Worcester, MA 01602-2260
Phone (978) 906-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210927001271 MA Practitioner - Physician Assistant 4082011572 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA7480MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1497286280 CurrentSince Sep 1, 2021 Accepting new patients
Carewell Urgent Care Centers of Ma, PC CurrentSince Mar 1, 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

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1295394906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 QUAKER RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022260",
            "telephone_number": "978-906-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 QUAKER RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022260",
            "telephone_number": "978-906-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTIER",
        "first_name": "MORGAN",
        "middle_name": "TALBOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.