Individual provider Active NPI

Michelle Denise Morris, ARNP

  • Family Nurse Practitioner
  • Live Oak, FL
National Provider Identifier
1487902417
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9173028 Issued in FL
Practice address
1520 Ohio Ave S
Live Oak, FL 32064-4514
Phone
(386) 219-4060
Fax
(386) 245-7100
NPI assigned
Aug 23, 2012
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 9173028 FL Primary

Addresses

Primary practice location

1520 Ohio Ave S
Live Oak, FL 32064-4514

Mailing address

1520 Ohio Ave S
Live Oak, FL 32064-4514
Phone (386) 219-4060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2023 through Oct 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9173028FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of North Central Florida P a CurrentSince Sep 7, 2012 Accepting new patients
Allergy Sinus & Asthma Specialty Care PastSince Apr 5, 2018 Accepting new patients
Advantage Wellness Services Past Accepting new patients

Locations

4423 NW 6th Pl
Ste A
Gainesville, FL 32607
Phone (352) 213-1250

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1487902417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 OHIO AVE S",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320644514",
            "telephone_number": "386-219-4060",
            "fax_number": "386-245-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 OHIO AVE S",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320644514",
            "telephone_number": "386-219-4060",
            "fax_number": "386-245-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MICHELLE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-23",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9173028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

Verify at the official NPI Registry.