Individual provider Active NPI

Morgan Dee Nettles Stewart, WHNP

  • Women's Health Nurse Practitioner
  • Grass Valley, CA
National Provider Identifier
1386421709
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95027118 Issued in CA
Practice address
844 Old Tunnel Rd
Grass Valley, CA 95945-8524
Phone
(530) 273-4984
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95154597 CA
Women's Health Nurse Practitioner 363LW0102X 95027118 CA Primary

Addresses

Primary practice location

844 Old Tunnel Rd
Grass Valley, CA 95945-8524

Mailing address

12713 Friar Tuck Rd
Grass Valley, CA 95949-8745
Phone (530) 277-2341

Other names 1

  • Morgan Dee Nettles Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20231220003930 CA Practitioner - Nurse Practitioner 3173973864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Sierra Medical Clinic IncGroup PAC ID 3971571217, 35 clinicians

Practice addresses (Care Compare)

844 Old Tunnel Rd
Grass Valley, CA 95945-8524
Phone (530) 274-9762

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95027118CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western Sierra Medical Clinic, Inc. CurrentSince Nov 5, 2023 Accepting new patients
Western Sierra Medical Clinic, Inc. CurrentSince Nov 5, 2023 Accepting new patients

Locations

3257 Professional Dr
Ste C
Auburn, CA 95602
Phone (530) 802-0601

1345 Whispering Pines Ln
Grass Valley, CA 95945
Phone (530) 265-7895

844 Old Tunnel Rd
Grass Valley, CA 95945
Phone (530) 273-4984

Interoperability endpoints

  • Direct secure messaging: morgan.stewart@wsmc1.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1386421709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12713 FRIAR TUCK RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959498745",
            "telephone_number": "530-277-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 OLD TUNNEL RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959458524",
            "telephone_number": "530-273-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MORGAN",
        "middle_name": "DEE NETTLES",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95154597",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95027118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "NETTLES",
            "middle_name": "DEE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.