NPIMap

Individual provider Active NPI

Brooke Anne Morgan, PA-C

  • Physician Assistant
  • Lincoln, RI
National Provider Identifier
1306324033
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01066 Issued in RI
Practice address
6 Blackstone Valley PL Ste 701
Lincoln, RI 02865-1170
Phone
(401) 333-3111
Fax
(401) 334-1217
NPI assigned
Aug 3, 2018
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 PA01066 RI Primary

Addresses

Primary practice location

6 Blackstone Valley PL Ste 701
Lincoln, RI 02865-1170

Mailing address

6 Blackstone Valley PL Ste 701
Lincoln, RI 02865-1170
Phone (401) 333-3111

Other identifiers 1

IdentifierTypeStateIssuer
PA01066OtherRILICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmorgan221069@direct.lifespan.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180910000619 MA Practitioner - Physician Assistant 5799035952
I20220106000350 RI Practitioner - Physician Assistant 5799035952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Medical Physicians IncGroup PAC ID 0345658316, 222 clinicians

Practice addresses (Care Compare)

6 Blackstone Valley PL
Suite 701
Lincoln, RI 02865-1170
Phone (401) 333-3111

900 Warren Ave
East Providence, RI 02914-1430

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA01066RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Corporation Current Accepting new patients
Coastal Medical Physicians, Inc. CurrentSince Apr 17, 2023 Accepting new patients

Locations

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

6 Blackstone Valley Pl
Ste 701
Lincoln, RI 02865
Phone (401) 333-3111

Interoperability endpoints

  • Direct secure messaging: bmorgan221069@brownhealth.medalliesdirect.net

Organizations & group practices 4

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 7

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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1306324033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL STE 701",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651170",
            "telephone_number": "401-333-3111",
            "fax_number": "401-334-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL STE 701",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651170",
            "telephone_number": "401-333-3111",
            "fax_number": "401-334-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "BROOKE",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA01066",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmorgan221069@direct.lifespan.org",
            "affiliation": "N",
            "address_1": "6 Blackstone Valley Pl Ste 701",
            "city": "Lincoln",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028651170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.