Individual provider Active NPI

Nicholas Paul Morin, MD,

  • Pediatric Critical Care Medicine Physician
  • Memphis, TN
National Provider Identifier
1629367909
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
57978 Issued in TN
Practice address
848 Adams Ave
Memphis, TN 38103
Phone
(901) 287-7337
Fax
(901) 287-6336
NPI assigned
Apr 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 3455 WI
Pediatric Critical Care Medicine Physician 2080P0203X 57978 TN Primary

Addresses

Primary practice location

848 Adams Ave
Memphis, TN 38103

Mailing address

50 N Dunlap St FL 3
Memphis, TN 38103-2800
Phone (901) 287-6303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN, WI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171128000087 OH Practitioner - Pediatric Medicine 3779882501 Reassigns benefits to 2 organizations
I20180905003598 TN Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 3779882501 Reassigns benefits to 1 organization
I20231205001024 WI Practitioner - Pediatric Medicine 3779882501 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
57978TNMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children CurrentSince May 15, 2024 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Oct 30, 2023 Accepting new patients
Shriners Hospitals for Children CurrentSince May 15, 2024 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Children'S Hospital Medical Center CurrentSince Oct 19, 2017 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Oct 30, 2023 Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

1 Childrens Plz
#2W
Dayton, OH 45404
Phone (513) 872-6000

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

Interoperability endpoints

  • Direct secure messaging: nmorin826432@direct.emplifyhealth.org
  • Direct secure messaging: nmorin31399@mlh.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1629367909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N DUNLAP ST FL 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032800",
            "telephone_number": "901-287-6303",
            "fax_number": "901-287-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 ADAMS AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38103",
            "telephone_number": "901-287-7337",
            "fax_number": "901-287-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIN",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "credential": "MD,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "WI",
            "license": "3455",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "TN",
            "license": "57978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.