Active NPI
Jackie Nechole Morgan, FNP
- Family Nurse Practitioner
- Gatesville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP137164
- Practice address
- 319 Highway 36 Byp S Ste 401
Gatesville, TX 76528-2741 - Phone
- (254) 248-6500
- Fax
- (254) 248-6594
- NPI assigned
- Apr 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP137164 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP137164 | TX | Primary |
Addresses
Primary practice location
319 Highway 36 Byp S Ste 401
Gatesville, TX 76528-2741
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180531000641 | TX | Practitioner - Nurse Practitioner | 1355606997 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Spine and Joint Hospital LLC
Practice addresses (Care Compare)
1814 Roseland Blvd
Tyler, TX 75701-4234
Phone (903) 525-3333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP137164 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Physician Associates PLLC | Current | Accepting new patients | |
| Ipa ER Group PLLC | Current | Accepting new patients | |
| Texas Spine and Joint Hospital, LLC | Current | Accepting new patients |
Locations
17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033
6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690
3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000
2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600
1814 Roseland Blvd
Tyler, TX 75701
Phone (903) 525-3300
1814 Roseland Blvd
Ste 100
Tyler, TX 75701
Phone (214) 696-8033
Interoperability endpoints
- jmorgan34431@direct.sw.org
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1346738804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 HIGHWAY 36 BYP S STE 401",
"city": "GATESVILLE",
"state": "TX",
"postal_code": "765282741",
"telephone_number": "254-248-6500",
"fax_number": "254-248-6594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "JACKIE",
"middle_name": "NECHOLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-30",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP137164",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP137164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gatesville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.