Individual provider Active NPI

Kelszie Danielle Morgan, PA-C

  • Physician Assistant
  • Lafayette, IN
National Provider Identifier
1609346923
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002558A Issued in IN
Practice address
1701 S Creasy LN
Lafayette, IN 47905-4972
Phone
(765) 502-4000
Fax
(765) 502-4709
NPI assigned
Nov 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10002558A IN Primary

Addresses

Primary practice location

1701 S Creasy LN
Lafayette, IN 47905-4972

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

412 N Monroe St
Williamsport, IN 47993-1049
Phone (765) 762-4000

Other names 1

  • Kelszie Danielle Phillips Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kphillips382234@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190122000619 IN Practitioner - Physician Assistant 8628315280 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians
Informe Healthcare LLCGroup PAC ID 8123375474, 12 clinicians
Informe Healthcare in LLCGroup PAC ID 9537407770, 14 clinicians
Informe HC Specialists LLCGroup PAC ID 5698184885, 8 clinicians

Practice addresses (Care Compare)

150 W Washington St
Shelbyville, IN 46176-1236
Phone (317) 865-5904

1701 S Creasy Lane
Lafayette, IN 47905-4972
Phone (765) 502-4000

1701 S Creasy LN
Lafayette, IN 47905-4972

1702 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 362-4400

1704 Lafayette Rd
Crawfordsville, IN 47933-1071

1706 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 775-2800

1710 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 364-8942

17475 Dugdale Dr
South Bend, IN 46635-1545
Phone (574) 247-7500

745 N Swope St
Greenfield, IN 46140-1332
Phone (317) 462-9221

8800 Virginia PL
Merrillville, IN 46410-7109
Phone (219) 736-1310

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Physician Assistant CurrentSince Sep 1, 2022 Accepting new patients
Franciscan Physician Network CurrentSince Dec 6, 2022 Accepting new patients
Cep America LLC CurrentSince Sep 1, 2022 Accepting new patients
Franciscan Physician Network CurrentSince Dec 6, 2022 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1501 Hartford St
Lafayette, IN 47904
Phone (765) 423-6011

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

412 N Monroe St
Williamsport, IN 47993
Phone (765) 762-2496

Interoperability endpoints

  • Direct secure messaging: kphillips382234@direct.franciscanalliance.org
  • Direct secure messaging: kmorgan382234@direct.franciscanalliance.org

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1609346923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S CREASY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054972",
            "telephone_number": "765-502-4000",
            "fax_number": "765-502-4709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "IN",
            "postal_code": "479931049",
            "country_code": "US",
            "telephone_number": "765-762-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KELSZIE",
        "middle_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002558A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kphillips382234@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 S Creasy Ln",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479054972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSZIE",
            "last_name": "PHILLIPS",
            "middle_name": "DANIELLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.