Individual provider Active NPI

Nicole Emily Morgan, PA-C

  • Physician Assistant
  • Framingham, MA
National Provider Identifier
1629637434
Registry record updated Aug 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA7152 Issued in MA
Practice address
761 Worcester Rd Ste 331
Framingham, MA 01701-5224
Phone
(508) 644-0040
Fax
(508) 644-0040
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 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 PA7152 MA Primary

Addresses

Primary practice location

761 Worcester Rd Ste 331
Framingham, MA 01701-5224

Mailing address

761 Worcester Rd Ste 331
Framingham, MA 01701-5224
Phone (508) 644-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20200207000411 MA Practitioner - Physician Assistant 7517393747 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Leominster Dermatology LLPGroup PAC ID 7416251483, 14 clinicians
Framingham DermatologyGroup PAC ID 8224364807, 5 clinicians

Practice addresses (Care Compare)

100 Hospital Rd
Suite 2D
Leominster, MA 01453-2253
Phone (978) 534-0582

761 Worcester Rd
Suite 331
Framingham, MA 01701-5224
Phone (508) 644-0040

Hospital & facility affiliations

  • Umass Memorial Healthalliance Hospitals Hospital, Leominster, MA, CCN 220001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA7152MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Leominster Dermatology LLP CurrentSince Jan 5, 2026 Accepting new patients

Locations

308 W Broadway
Ste 3
Gardner, MA 01440
Phone (978) 534-0582

308 W Broadway
Gardner, MA 01440

100 Hospital Rd
Ste 2D
Leominster, MA 01453
Phone (978) 534-0582

Organizations & group practices 3

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 2

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": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693094400000",
    "number": "1629637434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 WORCESTER RD STE 331",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015224",
            "telephone_number": "508-644-0040",
            "fax_number": "508-449-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 WORCESTER RD STE 331",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017015224",
            "telephone_number": "508-644-0040",
            "fax_number": "508-644-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "NICOLE",
        "middle_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2023-08-27",
        "certification_date": "2023-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.