Active NPI
Morgan Faanes, DPM
- Foot & Ankle Surgery Podiatrist
- Winamac, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07001373A
- Practice address
- 616 E 13TH St
Winamac, IN 46996-1117 - Phone
- (574) 946-2135
- NPI assigned
- May 1, 2018
- Last updated
- Apr 25, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07001373A | IN | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07001373A | IN | Primary |
Addresses
Primary practice location
616 E 13TH St
Winamac, IN 46996-1117
Mailing address
616 E 13TH St
Winamac, IN 46996-1117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pulaski Memorial Hospital
Practice addresses (Care Compare)
616 E 13TH St
Winamac, IN 46996-1117
Phone (574) 946-2100
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07001373A | IN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulaski Memorial Hospital | Current | Accepting new patients | |
| Pulaski Memorial Hospital | Current | Accepting new patients | |
| Pulaski Memorial Hospital | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Past | Accepting new patients | |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Podiatrist | Past | Accepting new patients |
Locations
232 S Main St
Ste A
Culver, IN 46511
Phone (574) 335-7780
2 S Pearl St
Knox, IN 46534
Phone (574) 207-5050
414 Lane St
North Judson, IN 46366
Phone (574) 896-2257
540 Hospital Dr
Winamac, IN 46996
Phone (574) 935-4327
616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5ac0007d-0893-4627-b11f-857c06d27ab1/
- https://fhir-myrecord.cerner.com/r4/781d290a-0fb7-4574-b825-dd38fe495caa/
- mfaanes1162351@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Winamac, IN
- NPI 1306928213
-
- Rural Health Clinic/Center
- Winamac, IN
- NPI 1740403419
-
dba Healthwin Health & Rehabilitation
- Skilled Nursing Facility
- South Bend, IN
- NPI 1093750119
-
dba Saint Joseph Foot and Ankle Sports Medicine Institute Plymouth
- Family Medicine Physician
- Plymouth, IN
- NPI 1538585187
Podiatrist
-
dba Family Medicine Faculty Physicians
- Family Medicine Physician
- Mishawaka, IN
- NPI 1144580150
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Winamac, IN
- NPI 1306928213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1659860096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 E 13TH ST",
"city": "WINAMAC",
"state": "IN",
"postal_code": "469961117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 E 13TH ST",
"city": "WINAMAC",
"state": "IN",
"postal_code": "469961117",
"telephone_number": "574-946-2135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAANES",
"first_name": "MORGAN",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07001373A",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07001373A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winamac, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.