Individual provider Active NPI

Debra J. Buckle Morgan, F.N.P., P.M.H.N.P.

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1568416550
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
122215 Issued in MO
Practice address
4013 N Ridge Rd Ste 110
Wichita, KS 67205-8859
Phone
(316) 201-6294
Fax
(316) 364-3020
NPI assigned
May 22, 2006
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 122215 MO Primary

Addresses

Primary practice location

4013 N Ridge Rd Ste 110
Wichita, KS 67205-8859

Mailing address

2243 N Horseshoe Cir
Derby, KS 67037-8657
Phone (816) 225-5387

Other identifiers 4

IdentifierTypeStateIssuer
1568416550MedicaidMO
597780303OtherMORH MEDICAID-NURSE PRACTIT
1447412770OtherMORH MEDICAID - NURSE PRACTITIONER
428750509MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX, KS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040908000296 MO Practitioner - Nurse Practitioner 5698741023 Reassigns benefits to 1 organization
I20150108000933 TX Practitioner - Nurse Practitioner 5698741023 Reassigns benefits to 1 organization
I20230801000752 KS Practitioner - Nurse Practitioner 5698741023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kansas School of Med (KC/Wich/Sal), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revive and Thrive Mental Health, LLCGroup PAC ID 8224414750, 2 clinicians

Practice addresses (Care Compare)

4013 N Ridge Rd
Suite 110
Wichita, KS 67205-8859
Phone (316) 201-6294

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122215MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital CurrentSince Oct 1, 2014 Accepting new patients
Gracemed Health Clinic, Inc CurrentSince Aug 28, 2023 Accepting new patients
Gracemed Health Clinic Inc CurrentSince Aug 28, 2023 Accepting new patients
Texas County Memorial Hospital CurrentSince Jan 6, 2014 Accepting new patients
Revive & Thrive Mental Health, LLC CurrentSince May 7, 2024 Accepting new patients
Texas County Memorial Hospital CurrentSince Jan 6, 2014 Accepting new patients
Crossroads Hospice of Kansas City LC CurrentSince Nov 6, 2022 Accepting new patients
Mindful Restoration, LLC CurrentSince Aug 10, 2025 Accepting new patients
Urgent Care Billing Past Accepting new patients
The Healing Hive PastSince Jul 28, 2025 Accepting new patients
Texas County Memorial Hospital Past Accepting new patients
Midwest Urgent Care Clinics, LLC Past Accepting new patients
Gracemed Health Clinic, Inc Past Accepting new patients

Locations

1122 N Topeka St
Wichita, KS 67214
Phone (316) 263-7455

1150 N Broadway Ave
Wichita, KS 67214

4013 N Ridge Rd
Ste 110
Wichita, KS 67205
Phone (316) 201-6294

5000 S Clifton Ave
#200
Wichita, KS 67216

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

1337 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-5435

1337 S Sam Houston Blvd
Ste 200
Houston, MO 65483
Phone (417) 967-3662

14310 E 42nd St S
Ste 600
Independence, MO 64055
Phone (816) 333-7308

139 W Highway 32
Licking, MO 65542
Phone (573) 674-3011

10810 E 45th St
Ste 300
Tulsa, OK 74146

Organizations & group practices 13

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.

View all 13

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1568416550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 N HORSESHOE CIR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670378657",
            "telephone_number": "816-225-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4013 N RIDGE RD STE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672058859",
            "telephone_number": "316-201-6294",
            "fax_number": "316-364-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "DEBRA",
        "middle_name": "J. BUCKLE",
        "name_prefix": "Mrs.",
        "credential": "F.N.P., P.M.H.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "122215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568416550",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RH MEDICAID-NURSE PRACTIT",
            "identifier": "597780303",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RH MEDICAID - NURSE PRACTITIONER",
            "identifier": "1447412770",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428750509",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.