Individual provider Active NPI

Morgan Brooke Kelly, PA-C

  • Surgical Physician Assistant
  • Fresno, CA
National Provider Identifier
1477178184
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
58887 Issued in CA
Practice address
2473 E Fir Ave
Fresno, CA 93720-0538
Phone
(559) 603-7525
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 58887 CA Primary

Addresses

Primary practice location

2473 E Fir Ave
Fresno, CA 93720-0538

Mailing address

PO Box 889442
Los Angeles, CA 90088-0309
Phone (559) 603-7372

Other practice location 1

1520 San Pablo St Ste 2000
Los Angeles, CA 90033-5322
Phone (323) 442-5860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201202002529 CA Practitioner - Physician Assistant 7315358942 Reassigns benefits to 2 organizations

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
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

1570 E Herndon Ave
Fresno, CA 93720-3303
Phone (559) 603-7241

2473 E Fir Ave
Fresno, CA 93720-0538
Phone (559) 603-7525

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 324-4000

45 E River Park PL W
Fresno, CA 93720-1565
Phone (559) 320-0530

Hospital & facility affiliations

  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Jul 1, 2023 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jul 1, 2023 Accepting new patients
Community Health Partners CurrentSince Feb 1, 2025 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

2473 E Fir Ave
Fresno, CA 93720
Phone (559) 603-7525

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

1520 San Pablo St
Ste 2000
Los Angeles, CA 90033
Phone (323) 442-5830

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1477178184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889442",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900880309",
            "telephone_number": "559-603-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2473 E FIR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200538",
            "telephone_number": "559-603-7525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 San Pablo St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335322",
            "country_code": "US",
            "telephone_number": "323-442-5860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MORGAN",
        "middle_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "58887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.