Imperial Blue Medical LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

IMPERIAL BLUE MEDICAL LLC

Practice address

8296 Seminole TRL
Ruckersville, VA 22968-3492

Phone

(434) 326-7531

NPI assigned

Mar 31, 2025

Organization subpart

No

Name

Kelsey Morris, FNPCNPI 1881296986

Title

Owner

Phone

(434) 326-7531

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelsey Morris

  • Family Nurse Practitioner
  • Ruckersville, VA
  • NPI 1881296986

  Family, VA

  Medicare reassignment NPD Authorized official

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in VA

Locations

• Ruckersville Urgent Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2026.

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1508669052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8296 SEMINOLE TRL",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229683492",
            "telephone_number": "434-481-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8296 SEMINOLE TRL",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229683492",
            "telephone_number": "434-326-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL BLUE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-326-7531",
        "authorized_official_credential": "FNPC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ruckersville Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ruckersville Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Ruckersville, VA
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.