Active NPI
Mitchell C Morgan
- Physician Assistant
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61238419
- Practice address
- Medex Northwest 4311 11TH Avenue NE, Suite 200
Seattle, WA 98105 - Phone
- (206) 616-4001
- NPI assigned
- Sep 4, 2020
- Last updated
- Jul 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61238419 | WA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
Medex Northwest 4311 11TH Avenue NE, Suite 200
Seattle, WA 98105
Mailing address
Medex Northwest 4311 11TH Avenue NE, Suite 200
Seattle, WA 98105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11100 NE 6TH St
Bellevue, WA 98004-5524
Phone (206) 350-7345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61238419 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Carbon Health Medical Group of Washington PC | Current | Accepting new patients |
Locations
11100 NE 6th St
Bellevue, WA 98004
Phone (206) 350-7345
1750 S 320th St
#M24
Federal Way, WA 98003
Phone (253) 553-3761
13210 39th Ave SE
Unit 102
Mill Creek, WA 98012
Phone (425) 216-6955
10221 156th St E
Ste P1102
Puyallup, WA 98374
Phone (253) 292-5297
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Bellevue, WA
- NPI 1689249096
-
- Urgent Care Clinic/Center
- Puyallup, WA
- NPI 1831900422
-
dba Nep
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
-
- Physician Assistant
- Arlington, WA
- NPI 1275567919
-
dba Zoom Management
- General Practice Physician
- Tigard, OR
- NPI 1023582178
WA
-
- Urgent Care Clinic/Center
- Oro Valley, AZ
- NPI 1396317079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1619581709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDEX NORTHWEST 4311 11TH AVENUE NE, SUITE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDEX NORTHWEST 4311 11TH AVENUE NE, SUITE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105",
"telephone_number": "206-616-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "MITCHELL",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-04",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61238419",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.