Susan K Morgan, APRN-CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

214146 Issued in OK

Practice address

2508 Hummingbird LN
Ponca City, OK 74604-2817

Phone

(406) 853-1215

NPI assigned

Jun 26, 2023

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairfax Medical Facilities IncGroup PAC ID 4284663360, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGHIAA

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.

• Fairfax Medical Facilities Inc

  dba Robert Clark Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Fairfax, OK
  • NPI 1538183173

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Fairfax Medical Facilities, Inc.

  dba Ponca City Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Ponca City, OK
  • NPI 1316747017
  NPD
• Fairfax Medical Facilities Inc

  dba Hominy Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Hominy, OK
  • NPI 1609040864

  Multi-Specialty

  NPD (past)
• Fairfax Medical Facilities Inc

  dba Newkirk Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Newkirk, OK
  • NPI 1851535785
  NPD (past)

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1477239135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 HUMMINGBIRD LANE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "74604",
            "telephone_number": "406-853-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 HUMMINGBIRD LN",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746042817",
            "telephone_number": "406-853-1215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 S Highway 77",
            "address_purpose": "LOCATION",
            "city": "Newkirk",
            "state": "OK",
            "postal_code": "746477009",
            "country_code": "US",
            "telephone_number": "580-362-2555",
            "fax_number": "580-362-2948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "SUSAN",
        "middle_name": "K",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-218939",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "214146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Charles Raye Miller, D.C.
• Eric Scott Mills
• Kathy Mitchell
• Bonnie Denise Moorman, RN
• Bobbi Jo Moran
• Rachel Lynn Morlock
• Walter Perry Morris Jr.
• Brianna Jade Morrison
• Cynthia Diane Morton
• Kayti Moxley, APRN-CNP

• Psychiatric/Mental Health Nurse Practitioner in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.