Individual provider Active NPI

Nicole Marie Morgan, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1568912418
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10906 Issued in AZ
Practice address
4780 E Grant Rd
Tucson, AZ 85712-2703
Phone
(520) 290-0300
NPI assigned
Oct 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN141587 AZ
Family Nurse Practitioner 363LF0000X AP10906 AZ Primary

Addresses

Primary practice location

4780 E Grant Rd
Tucson, AZ 85712-2703

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3253

Other practice location 1

9770 E Nicaragua Pl
Tucson, AZ 85730-4416
Phone (520) 909-8863

Other practice location 2

2601 S Houghton Rd
Tucson, AZ 85730-1525
Phone (520) 751-8523

Other practice location 3

9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone (478) 538-0908

Other identifiers 1

IdentifierTypeStateIssuer
367115MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180327002979 AZ Practitioner - Nurse Practitioner 6305108549 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10906AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Phoenix Collaborative Care PC CurrentSince May 1, 2023 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince May 1, 2023 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Aug 29, 2022 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

4780 E Grant Rd
Tucson, AZ 85712
Phone (202) 900-3005

4730 E Grant Rd
Tucson, AZ 85712
Phone (520) 290-0300

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1568912418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122703",
            "telephone_number": "520-290-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9770 E Nicaragua Pl",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857304416",
            "country_code": "US",
            "telephone_number": "520-909-8863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 S Houghton Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857301525",
            "country_code": "US",
            "telephone_number": "520-751-8523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9900 Bren Rd E",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553439664",
            "country_code": "US",
            "telephone_number": "478-538-0908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN141587",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367115",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.