Individual provider Active NPI

Anne K Morse

  • Internal Medicine Physician
  • Grand Island, NE
National Provider Identifier
1679571673
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17612 Issued in NE
Practice address
729 N Custer Ave
Grand Island, NE 68803-4311
Phone
(308) 382-9266
Fax
(308) 382-5290
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17612 NE Primary

Addresses

Primary practice location

729 N Custer Ave
Grand Island, NE 68803-4311

Mailing address

729 N Custer Ave
P.O. Box 2339
Grand Island, NE 68803-4311
Phone (308) 382-9266

Other identifiers 2

IdentifierTypeStateIssuer
47059252300MedicaidNE
00271OtherNEBCBS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17612NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medical Associates of Grand Island, P. C. Internal Medicine Current Accepting new patients

Locations

729 N Custer Ave
Grand Island, NE 68803
Phone (308) 382-9266

2620 W Faidley Ave
#B9804
Grand Island, NE 68803
Phone (308) 384-4600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1679571673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 N CUSTER AVE",
            "address_2": "P.O. BOX 2339",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034311",
            "telephone_number": "308-382-9266",
            "fax_number": "308-382-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 N CUSTER AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034311",
            "telephone_number": "308-382-9266",
            "fax_number": "308-382-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSE",
        "first_name": "ANNE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "17612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47059252300",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "00271",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.