Individual provider Active NPI

Edward Watts Morris III, NP-C

  • Family Nurse Practitioner
  • Wayland, MA
National Provider Identifier
1467797787
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2269953 Issued in MA
Practice address
34 Woodridge Rd
Wayland, MA 01778-3621
Phone
(508) 276-1161
NPI assigned
Nov 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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 RN2269953 MA Primary

Addresses

Primary practice location

34 Woodridge Rd
Wayland, MA 01778-3621

Mailing address

34 Woodridge Rd
Wayland, MA 01778-3621
Phone (508) 276-1161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160929001966 MA Practitioner - Nurse Practitioner 0941597280 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dispatchhealth Massachusetts PCGroup PAC ID 0840542791, 22 clinicians

Practice addresses (Care Compare)

567 Southbridge St
Suite 10
Auburn, MA 01501-2269
Phone (303) 500-1518

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2269953MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Massachusetts CurrentSince Jan 18, 2022 Accepting new patients
Carbon Health Primary Care of Florida PA CurrentSince Apr 28, 2023 Accepting new patients
Dispatchhealth Massachusetts PC CurrentSince Nov 1, 2024 Accepting new patients
Carbon Health Primary Care of Florida PA CurrentSince Apr 28, 2023 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Dec 4, 2022 Accepting new patients
Afc Physicians of Massachusetts, PC Current Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Dec 4, 2022 Accepting new patients
Excella Home Health Agency, LLC Past Accepting new patients

Locations

567 Southbridge St
Ste 10
Auburn, MA 01501
Phone (413) 998-1980

38 Boston Post Rd W
Marlborough, MA 01752
Phone (508) 650-6208

945 Worcester St
Natick, MA 01760
Phone (508) 650-6208

300 1st Ave
Ste 101
Needham, MA 02494

415 Cooley St
Unit 3
Springfield, MA 01128
Phone (413) 782-4878

123 Park Ave
West Springfield, MA 01089
Phone (413) 732-8700

Interoperability endpoints

  • Direct secure messaging: edward.morris.1@13869.direct.athenahealth.com

Organizations & group practices 8

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": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1467797787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WOODRIDGE RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783621",
            "telephone_number": "508-276-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 WOODRIDGE RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017783621",
            "telephone_number": "508-276-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "EDWARD",
        "middle_name": "WATTS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2269953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayland, MA

Sources for this page

Verify at the official NPI Registry.