Morgan Klokow
Individual provider Active NPI Family Nurse Practitioner · Sanford, NC
NPI 1548035595 · NPPES record last updated Nov 20, 2023
Key facts
- NPI
- 1548035595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5019175 (NC)
- Practice address
- 2807 S Homer Blvd
Sanford, NC 27330 - Phone
- (984) 251-1331
- NPI assigned
- Nov 20, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240122001180 | NC | Practitioner - Nurse Practitioner | 0840642286 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Medical Center Incorporated | Current |
Accepting new patients | |
| Goshen Medical Center Incorporated | Current |
Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current |
Accepting new patients | |
| Goshen Medical Center, Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients |
Locations
444 SW Center St
Faison, NC 28341
Phone (910) 267-0421
106 Jefferson St
Hamlet, NC 28345
Phone (910) 557-9447
Interoperability endpoints
- mklokow@goshenmedical.cloudcraftdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5019175 | NC | Yes |
Addresses
Primary practice location
2807 S Homer Blvd
Sanford, NC 27330
Mailing address
112 Fontana Lake Rd
Aberdeen, NC 28315-2030
Other providers in Sanford, NC
- Kelly Scott Kirby
- Jayme Lynn Kirk
- Micahla Nykol Kitchen
- Katelyn Kivett
- Dawn Elizabeth Kleinman
- Mike Knapp
- Knecht Chiropractic Center PC
- Andre NMN Knecht
- Brandon Knockum
- Kim Elaine Knoeller
All providers in Sanford, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.