Individual provider Active NPI

Morgan Leigh Margelewicz, PA-C

  • Physician Assistant
  • Clarksville, TN
National Provider Identifier
1417574021
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2130 Wilma Rudolph Blvd
Clarksville, TN 37040-6637
Phone
(615) 771-7546
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4912 TN
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2130 Wilma Rudolph Blvd
Clarksville, TN 37040-6637

Mailing address

2130 Wilma Rudolph Blvd
Clarksville, TN 37040-6637

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.skinsolutionsderm.com/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220224002049 TN Practitioner - Physician Assistant 5496172926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Solutions Dermatology and Skin Cancer Surgery, P.C.Group PAC ID 8820064140, 27 clinicians

Practice addresses (Care Compare)

200 Cool Springs Blvd
Franklin, TN 37067-2677
Phone (615) 771-7546

Merit-based Incentive Payment System (MIPS)

Final score
78.77 of 100Reported as group
Quality
85.91
Promoting interoperability
96
Improvement activities
40
Cost
46.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4912TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stratum Health Collective PLLC PastSince Mar 1, 2022 Accepting new patients

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": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1417574021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 WILMA RUDOLPH BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 WILMA RUDOLPH BLVD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406637",
            "telephone_number": "615-771-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGELEWICZ",
        "first_name": "MORGAN",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "4912",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.skinsolutionsderm.com/",
            "affiliation": "N",
            "endpointDescription": "office website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "contact information/appointment request/help",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "resources",
            "address_1": "200 Cool Springs Blvd",
            "city": "Franklin",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370672677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.