Individual provider Active NPI

Shirlene Morgan, FNP-C

  • Family Nurse Practitioner
  • Hazel Park, MI
National Provider Identifier
1427425420
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704211763 Issued in MI
Practice address
1142 E 9 Mile Rd
Hazel Park, MI 48030-1901
Phone
(248) 817-4742
NPI assigned
Aug 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704211763 MI Primary

Addresses

Primary practice location

1142 E 9 Mile Rd
Hazel Park, MI 48030-1901

Mailing address

PO Box 746723
Atlanta, GA 30374-6723
Phone (312) 733-9730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20151109001831 MI Practitioner - Nurse Practitioner 6204146988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians

Practice addresses (Care Compare)

1142 E 9 Mile Rd
Hazel Park Clinic
Hazel Park, MI 48030-1901
Phone (248) 817-4742

3525 Saginaw Rd
Burton, MI 48529
Phone (810) 222-3040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704211763MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Mi Physicians Group PC CurrentSince Feb 5, 2024 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Feb 5, 2024 Accepting new patients
Osh-Mi Physicians Group PC Family Past Accepting new patients

Locations

102 W Pierson Rd
Flint, MI 48505
Phone (810) 222-3033

1142 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 414-5770

Interoperability endpoints

  • Direct secure messaging: shirlene.morgan@oakstreethealth.gwaydirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1427425420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746723",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746723",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 E 9 MILE RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301901",
            "telephone_number": "248-817-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "SHIRLENE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704211763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Park, MI

Sources for this page

Verify at the official NPI Registry.