Individual provider Active NPI

Morgan Taylor Gawlik Reyes, FNP-BC

  • Family Nurse Practitioner
  • Portland, TX
National Provider Identifier
1629757141
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1127632 Issued in TX
Practice address
2413 Memorial Pkwy
Portland, TX 78374-3209
Phone
(361) 643-4546
Fax
(361) 758-2137
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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 1127632 TX Primary

Addresses

Primary practice location

2413 Memorial Pkwy
Portland, TX 78374-3209

Mailing address

2413 Memorial Pkwy
Portland, TX 78374-3209
Phone (361) 643-4546

Other practice location 1

2120 Baldwin Blvd
Corpus Christi, TX 78405-2010
Phone (361) 500-0096

Other practice location 2

1504 Waldron Rd
Corpus Christi, TX 78418-4450
Phone (361) 937-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240530001706 TX Practitioner - Nurse Practitioner 4880036227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

2413 Memorial Pkwy
Portland, TX 78374-3209
Phone (361) 704-1544

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1127632TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince May 20, 2024 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince May 20, 2024 Accepting new patients
Antrados, P.a. PastSince Jul 1, 2023 Accepting new patients
Children'S Physician Services of South Texas Past Accepting new patients

Locations

2413 Memorial Pkwy
Portland, TX 78374
Phone (361) 643-4546

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: morgan.gawlikreyes@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

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": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1629757141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 MEMORIAL PKWY",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783743209",
            "telephone_number": "361-643-4546",
            "fax_number": "361-758-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 MEMORIAL PKWY",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783743209",
            "telephone_number": "361-643-4546",
            "fax_number": "361-758-2137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Baldwin Blvd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784052010",
            "country_code": "US",
            "telephone_number": "361-500-0096",
            "fax_number": "877-409-2521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1504 Waldron Rd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784184450",
            "country_code": "US",
            "telephone_number": "361-937-5311",
            "fax_number": "855-618-2472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAWLIK REYES",
        "first_name": "MORGAN",
        "middle_name": "TAYLOR",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1127632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TX

Sources for this page

Verify at the official NPI Registry.