Individual provider Active NPI

Morgan Widger

  • Psychiatric/Mental Health Registered Nurse
  • Mesa, AZ
National Provider Identifier
1386399103
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN208430 Issued in AZ
Practice address
3864 E Enrose St
Mesa, AZ 85205-5172
Phone
(480) 298-9013
NPI assigned
Feb 21, 2022
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN208430 AZ Primary

Addresses

Primary practice location

3864 E Enrose St
Mesa, AZ 85205-5172

Mailing address

3864 E Enrose St
Mesa, AZ 85205-5172
Phone (480) 298-9013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20221229001200 AZ Practitioner - Nurse Practitioner 8628448024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Partners in Recovery LLCGroup PAC ID 9638212301, 32 clinicians

Practice addresses (Care Compare)

4330 E University Dr
East Valley Campus
Mesa, AZ 85205-7004
Phone (480) 218-3280

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Recovery, LLC CurrentSince Sep 23, 2022 Accepting new patients
Partners in Recovery, LLC CurrentSince Sep 23, 2022 Accepting new patients
Partners in Recovery, LLC Current Accepting new patients

Locations

4330 E University Dr
Mesa, AZ 85205
Phone (480) 218-3280

924 N Country Club Dr
Mesa, AZ 85201
Phone (480) 696-3800

10240 N 31st Ave
Ste 200
Phoenix, AZ 85051
Phone (602) 395-1700

Interoperability endpoints

  • Direct secure messaging: morgan.widger@direct.azpir.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1386399103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3864 E ENROSE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852055172",
            "telephone_number": "480-298-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3864 E ENROSE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852055172",
            "telephone_number": "480-298-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDGER",
        "first_name": "MORGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN208430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.