Individual provider Active NPI

Stacy R Morgan, FNP-C

  • Family Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1376093278
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132078 Issued in TX
Practice address
2990 N Broadway Ave
Tyler, TX 75702-2149
Phone
(903) 535-9041
Fax
(903) 592-3886
NPI assigned
Oct 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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 AP132078 TX Primary

Addresses

Primary practice location

2990 N Broadway Ave
Tyler, TX 75702-2149

Mailing address

523 S Fannin Ave
Tyler, TX 75702-8204
Phone (903) 535-9041

Other practice location 1

214 E Houston St
Tyler, TX 75702-8131
Phone (903) 593-1892

Other names 1

  • Stacy Renee Fogle Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161202001064 TX Practitioner - Nurse Practitioner 6305126616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tyler Family Circle of CareGroup PAC ID 4587812888, 28 clinicians

Practice addresses (Care Compare)

2990 N Broadway Ave
Tyler, TX 75702-2149
Phone (903) 535-9041

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP132078TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Family Circle of Care CurrentSince Sep 28, 2016 Accepting new patients
Tyler Family Circle of Care CurrentSince Jan 19, 2025 Accepting new patients

Locations

1001 N Palestine St
Athens, TX 75751
Phone (903) 904-5084

2990 N Broadway Ave
Tyler, TX 75702
Phone (903) 245-1984

928 N Glenwood Blvd
Tyler, TX 75702
Phone (903) 533-7400

523 S Fannin Ave
Tyler, TX 75702

214 E Houston St
Tyler, TX 75702
Phone (903) 593-1892

Interoperability endpoints

  • Direct secure messaging: sfogle138472@christushealth.direct-ci.net

Organizations & group practices 2

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.

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": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1376093278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 S FANNIN AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028204",
            "telephone_number": "903-535-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 N BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757022149",
            "telephone_number": "903-535-9041",
            "fax_number": "903-592-3886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 E Houston St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757028131",
            "country_code": "US",
            "telephone_number": "903-593-1892",
            "fax_number": "903-533-1747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "STACY",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "FOGLE",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.