Individual provider Active NPI

Morgan Rae Mooney, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1487128591
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5378527022 Issued in KS
Practice address
3110 N Ridge Rd Apt 306
Wichita, KS 67205-1245
Phone
(316) 841-6022
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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 5378527022 KS Primary

Addresses

Primary practice location

3110 N Ridge Rd Apt 306
Wichita, KS 67205-1245

Mailing address

3110 N Ridge Rd Apt 306
Wichita, KS 67205-1245
Phone (316) 841-6022

Other names 1

  • Morgan Rae Lent Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20190206003225 KS Practitioner - Nurse Practitioner 7911245568 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CS Pacs 3 Midwest LLCGroup PAC ID 4183164734, 36 clinicians

Practice addresses (Care Compare)

17500 W 119TH St
Olathe, KS 66061-9524
Phone (913) 213-1686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5378527022KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Post Acute Medical Services 1 PA CurrentSince Jan 9, 2019 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Aug 22, 2024 Accepting new patients

Locations

17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686

601 E Main St
Pretty Prairie, KS 67570
Phone (620) 459-6822

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.

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1487128591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 N RIDGE RD APT 306",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051245",
            "telephone_number": "316-841-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 N RIDGE RD APT 306",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051245",
            "telephone_number": "316-841-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "MORGAN",
        "middle_name": "RAE",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5378527022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "LENT",
            "middle_name": "RAE",
            "credential": "DNP, APRN, FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.