Individual provider Active NPI

Morgan Shaye Fusco, APRN

  • Acute Care Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1396477170
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11020534 Issued in FL
Practice address
1838 Frankford Ave
Panama City, FL 32405-2639
Phone
(850) 215-8200
NPI assigned
Jun 29, 2022
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11020534 FL Primary

Addresses

Primary practice location

1838 Frankford Ave
Panama City, FL 32405-2639

Mailing address

2108 Pentland Rd
Lynn Haven, FL 32444-5357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250211000053 FL Practitioner - Nurse Practitioner 9133659899 Reassigns benefits to 2 organizations
I20260217001315 AL Practitioner - Nurse Practitioner 9133659899 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
Group practices
Gulf Coast Pain Consultants LLCGroup PAC ID 1658516570, 37 clinicians
Cardiac Vision LLCGroup PAC ID 9032349733, 66 clinicians

Practice addresses (Care Compare)

135 Medical Park Dr
Suite 2B
Andalusia, AL 36420-5352
Phone (855) 527-7246

2507 Harrison Ave
Unit 200
Panama City, FL 32405-4447
Phone (855) 527-7246

6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (904) 231-1204

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11020534FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Pain Consultants LLC CurrentSince Feb 24, 2025 Accepting new patients
Gulf Coast Pain Consultants LLC CurrentSince Feb 24, 2025 Accepting new patients
Gulf Coast Pain Consultants LLC CurrentSince Jan 3, 2026 Accepting new patients

Locations

135 Medical Park Dr
Ste 2B
Andalusia, AL 36420
Phone (850) 753-8075

408 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-2550

2507 Harrison Ave
Unit 200
Panama City, FL 32405
Phone (850) 215-8035

4901 Market Place Rd
Pensacola, FL 32504

5102 N Davis Hwy
Pensacola, FL 32503
Phone (850) 484-8800

1040 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-6555

201 Defense Hwy
Ste 205
Annapolis, MD 21401

Interoperability endpoints

  • Direct secure messaging: morgan.fusco.1@11679.direct.athenahealth.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, 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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1396477170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 PENTLAND RD",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324445357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 FRANKFORD AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052639",
            "telephone_number": "850-215-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSCO",
        "first_name": "MORGAN",
        "middle_name": "SHAYE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11020534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.