Active NPI
Morgan Nicole Southern, MSN-FNP
- Family Nurse Practitioner
- Gary, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71013634A
- Practice address
- 600 Grant St
Gary, IN 46402-6001 - Phone
- (219) 886-4000
- NPI assigned
- Feb 27, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209024178 | IL | |
| Family Nurse Practitioner | 363LF0000X | 71013634A | IN | Primary |
Addresses
Primary practice location
600 Grant St
Gary, IN 46402-6001
Mailing address
600 Homeland Rd
Matteson, IL 60443-1781
Phone (708) 509-8381
Other practice location 1
8701 Broadway
Merrillville, IN 46410-7035
Phone (219) 738-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8701 Broadway
Merrillville, IN 46410-7035
Phone (219) 738-4926
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.64 of 100
- Quality
- 56.64
- Promoting interoperability
- 73
- Improvement activities
- 40
- Cost
- 76.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209024178 | IL | MD | Family Nurse Practitioner |
| 71013634A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Past | Accepting new patients |
Locations
1275 E North St
Ste 102
Crown Point, IN 46307
Phone (219) 922-8051
1275 E North St
Crown Point, IN 46307
Phone (219) 663-2793
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926
101 E 87th Ave
Merrillville, IN 46410
Phone (219) 738-6670
8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151
Interoperability endpoints
- msouthern175990@themethodisthospitals.direct-ci.com
Organizations & group practices 4
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.
-
- Neurology Physician
- Gary, IN
- NPI 1720290588
-
- Family Medicine Physician
- Arlington Heights, IL
- NPI 1790080505
-
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1396444568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 HOMELAND RD",
"city": "MATTESON",
"state": "IL",
"postal_code": "604431781",
"telephone_number": "708-509-8381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 GRANT ST",
"city": "GARY",
"state": "IN",
"postal_code": "464026001",
"telephone_number": "219-886-4000"
}
],
"practiceLocations": [
{
"address_1": "8701 Broadway",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464107035",
"country_code": "US",
"telephone_number": "219-738-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOUTHERN",
"first_name": "MORGAN",
"middle_name": "NICOLE",
"credential": "MSN-FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209024178",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71013634A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.