Individual provider Active NPI

Michelle Suzanne Morgan, ANP-BC

  • Adult Health Nurse Practitioner
  • Rockport, ME
National Provider Identifier
1659536662
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
CNP171119 Issued in ME
Practice address
4 Glen Cove Dr Ste 102
Rockport, ME 04856-4236
Phone
(207) 921-5970
Fax
(207) 921-5310
NPI assigned
Jul 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X CNP171119 ME Primary

Addresses

Primary practice location

4 Glen Cove Dr Ste 102
Rockport, ME 04856-4236

Mailing address

4 Glen Cove Dr Ste 102
Rockport, ME 04856-4236
Phone (207) 921-5970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081205000299 AZ Practitioner - Nurse Practitioner 5294896544 Reassigns benefits to 1 organization
I20180514000226 ME Practitioner - Nurse Practitioner 5294896544 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303257NYMDLicensed Practical Nurse
CNP171119MEMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Penobscot Bay Physicians & Associates CurrentSince Apr 23, 2018 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Oct 1, 2018 Accepting new patients
Scottsdale Healthcare Corp CurrentSince Jun 29, 2010 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 29, 2010 Accepting new patients
Mainehealth CurrentSince Oct 1, 2018 Accepting new patients
Urvish K Shah, MD PC Past Accepting new patients

Locations

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

20401 N 73rd St
Ste 210
Scottsdale, AZ 85255
Phone (480) 688-2075

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

4 Glen Cove Dr
Ste 103
Rockport, ME 04856
Phone (207) 301-5737

4 Glen Cove Dr
Ste 5
Rockport, ME 04856
Phone (207) 592-5883

3 Glen Cove Dr
#3
Rockport, ME 04856
Phone (207) 301-5400

4 Glen Cove Dr
Ste 102
Rockport, ME 04856
Phone (207) 593-5757

6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000

Interoperability endpoints

  • Direct secure messaging: mmorgan219030@direct.mmc.mainehealth.org

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": "1216512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1659536662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR STE 102",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564236",
            "telephone_number": "207-921-5970",
            "fax_number": "207-921-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR STE 102",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564236",
            "telephone_number": "207-921-5970",
            "fax_number": "207-921-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "MICHELLE",
        "middle_name": "SUZANNE",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-20",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ME",
            "license": "CNP171119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, ME

Sources for this page

Verify at the official NPI Registry.