Individual provider Active NPI

Wesley Harrison Morgan, FNP-BC

  • Family Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1497534788
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023017377 Issued in MO
Practice address
1619 Ridgeway Dr
Cape Girardeau, MO 63701-2426
Phone
(270) 217-6421
NPI assigned
Sep 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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 2023017377 MO Primary

Addresses

Primary practice location

1619 Ridgeway Dr
Cape Girardeau, MO 63701-2426

Mailing address

1619 Ridgeway Dr
Cape Girardeau, MO 63701-2426
Phone (270) 217-6421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241028002300 KY Practitioner - Nurse Practitioner 9739612805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2601 Kentucky Ave
Suite 301
Paducah, KY 42003-3826
Phone (270) 575-3113

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023017377MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Southeastern Physician Services PC CurrentSince Dec 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2601 Kentucky Ave
Ste 301
Paducah, KY 42003
Phone (270) 575-3113

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

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": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1497534788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 RIDGEWAY DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012426",
            "telephone_number": "270-217-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 RIDGEWAY DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012426",
            "telephone_number": "270-217-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "WESLEY",
        "middle_name": "HARRISON",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023017377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.