Individual provider Active NPI

Morgan Paige Johns, APRN-CNS

  • Gerontology Clinical Nurse Specialist
  • Altus, OK
National Provider Identifier
1376095331
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
109572 Issued in OK
Practice address
304 S Park LN
Altus, OK 73521-5753
Phone
(580) 379-6500
Fax
(580) 379-6509
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X 109572 OK Primary

Addresses

Primary practice location

304 S Park LN
Altus, OK 73521-5753

Mailing address

1200 E Pecan St
Altus, OK 73521-6192
Phone (580) 379-5000

Other identifiers 1

IdentifierTypeStateIssuer
200691700AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MorganJohns@direct.jcmh.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20170320000650 OK Practitioner - Nurse Practitioner 1456636216 Reassigns benefits to 2 organizations

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
Jackson County Memorial Hospital AuthorityGroup PAC ID 1759293178, 46 clinicians

Practice addresses (Care Compare)

205 S Park LN
Suite 210
Altus, OK 73521-5757
Phone (580) 379-6650

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109572OKMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Centers of Southwest Oklahoma, LLC CurrentSince Mar 13, 2017 Accepting new patients
Jackson County Memorial Hospital Authority CurrentSince Jun 20, 2023 Accepting new patients
Jackson County Memorial Hospital Authority CurrentSince Jun 20, 2023 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Jackson County Memorial Hosp Phcy Past Accepting new patients

Locations

1200 E Broadway St
Altus, OK 73521
Phone (580) 379-6000

1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000

304 S Park Ln
Altus, OK 73521
Phone (580) 379-6500

205 S Park Ln
Ste 210
Altus, OK 73521
Phone (580) 379-6650

2110 Duncan Regional Loop
Duncan, OK 73533
Phone (580) 250-6600

104 NW 31st St
Lawton, OK 73505
Phone (580) 536-2121

Organizations & group practices 11

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": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1376095331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E PECAN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735216192",
            "telephone_number": "580-379-5000",
            "fax_number": "580-379-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S PARK LN",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735215753",
            "telephone_number": "580-379-6500",
            "fax_number": "580-379-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "MORGAN",
        "middle_name": "PAIGE",
        "credential": "APRN-CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "OK",
            "license": "109572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200691700A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MorganJohns@direct.jcmh.com",
            "affiliation": "N",
            "address_1": "304 S Park Ln",
            "city": "Altus",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735215753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

Verify at the official NPI Registry.