NPIMap

Organization Active NPI

Morrell Advanced Practice LLC

  • Primary Care Nurse Practitioner
  • Warfordsburg, PA
National Provider Identifier
1306508189
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
MORRELL ADVANCED PRACTICE LLC
Doing business as
Morrell Advanced Practice, LLC
Practice address
4540 Old 126
Warfordsburg, PA 17267-7934
Phone
(304) 393-5094
Fax
(855) 631-6386
NPI assigned
Oct 9, 2021
Last updated
Oct 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Caitlyn Morrell, FNP-CNPI 1578150447
Title
Family Nurse Practitioner
Phone
(304) 393-5094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

4540 Old 126
Warfordsburg, PA 17267-7934

Mailing address

4540 Old 126
Warfordsburg, PA 17267-7934
Phone (304) 393-5094

Other practice location 1

339 E Antietam St Ste 1
Hagerstown, MD 21740-5767
Phone (304) 393-5094

Other names 1

  • Morrell Advanced Practice, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.app.kareo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211202000772 PA Part B Supplier - Clinic/Group Practice 6204226418 Receives reassigned benefits from 1 practitioner
Practice locations: Warfordsburg, PA
O20220415000787 MD Part B Supplier - Clinic/Group Practice 6204226418 Receives reassigned benefits from 5 practitioners
Practice locations: Hagerstown, MD; Hancock, MD

National Provider Directory

National Provider Directory
Tax ID family
Morrell Advanced Practice3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1306508189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 OLD 126",
            "city": "WARFORDSBURG",
            "state": "PA",
            "postal_code": "172677934",
            "telephone_number": "304-393-5094",
            "fax_number": "855-631-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 OLD 126",
            "city": "WARFORDSBURG",
            "state": "PA",
            "postal_code": "172677934",
            "telephone_number": "304-393-5094",
            "fax_number": "855-631-6386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 E Antietam St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217405767",
            "country_code": "US",
            "telephone_number": "304-393-5094",
            "fax_number": "855-631-6386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORRELL ADVANCED PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-09",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "MORRELL",
        "authorized_official_first_name": "CAITLYN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "304-393-5094",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.app.kareo.com",
            "affiliation": "N",
            "endpointDescription": "Kareo EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR INTERNET",
            "address_1": "4540 Old 126",
            "city": "Warfordsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "172677934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Morrell Advanced Practice, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Morrell Advanced Practice, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warfordsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.