Individual provider Active NPI

Nicole Renee Morgan, APRN-FNP

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1609519792
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
853716 Issued in NV
Practice address
6170 N Durango Dr Ste 220
Las Vegas, NV 89149-3926
Phone
(702) 544-6846
NPI assigned
Apr 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 853716 NV Primary

Addresses

Primary practice location

6170 N Durango Dr Ste 220
Las Vegas, NV 89149-3926

Mailing address

6170 N Durango Dr Ste 220
Las Vegas, NV 89149-3926
Phone (702) 544-6846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20221214001738 NV Practitioner - Nurse Practitioner 8820467822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Diseases of Southern Nevada a Professional LLCGroup PAC ID 7012065576, 13 clinicians

Practice addresses (Care Compare)

825 N Gibson Rd
Suite 311
Henderson, NV 89011-1708
Phone (702) 776-8300

Hospital & facility affiliations

  • Boulder City Hospital Hospital, Boulder City, NV, CCN 291309
  • Henderson Hospital Hospital, Henderson, NV, CCN 290057
  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases of Southern Nevada a Professional LLC CurrentSince Jun 19, 2024 Accepting new patients

Locations

825 N Gibson Rd
Ste 311
Henderson, NV 89011
Phone (702) 776-8300

2350 Ione Rd
Las Vegas, NV 89183
Phone (702) 339-7149

5437 Kietzke Ln
Reno, NV 89511
Phone (775) 784-3319

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1650067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1609519792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 N DURANGO DR STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493926",
            "telephone_number": "702-544-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 N DURANGO DR STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493926",
            "telephone_number": "702-544-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-16",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "853716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.