Individual provider Active NPI

Morgan Rae Beaver, APRN

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1699305037
Registry record updated Jul 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11005739 Issued in FL
Practice address
4866 Big Island Dr Unit 5
Jacksonville, FL 32246-5301
Phone
(904) 652-0652
NPI assigned
Jan 24, 2020
Last updated
Jul 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11005739 FL Primary

Addresses

Primary practice location

4866 Big Island Dr Unit 5
Jacksonville, FL 32246-5301

Mailing address

11608 White Horse Rd
Jacksonville, FL 32246-2453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240401003300 FL Practitioner - Nurse Practitioner 7315385085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivx Health of Florida PAGroup PAC ID 8426470626, 47 clinicians

Practice addresses (Care Compare)

10400 San Jose Blvd
Suite 13
Jacksonville, FL 32257-6363
Phone (904) 339-7332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11005739FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Florida, P.a. CurrentSince Feb 26, 2024 Accepting new patients
River City Nephrology PLLC PastSince Jan 1, 2020 Accepting new patients
Luis F Anez MD PA PastSince Jan 1, 2020 Accepting new patients
Ideal Image PastSince Jul 20, 2021 Accepting new patients
Infusion Express of Kansas LLC Past Accepting new patients

Locations

293 E Altamonte Dr
Ste 1201
Altamonte Springs, FL 32701
Phone (407) 392-3171

10400 San Jose Blvd
Ste 13
Jacksonville, FL 32257
Phone (904) 339-7331

4509 Saint Johns Ave
Ste 4
Jacksonville, FL 32210
Phone (904) 339-7334

9734 Deer Lake Ct
Ste 6
Jacksonville, FL 32246
Phone (904) 339-7341

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26160/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/6c20d173-8471-45ee-ad2d-9ab0afd60b33/
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGHHBD

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.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625961600000",
    "number": "1699305037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11608 WHITE HORSE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322462453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4866 BIG ISLAND DR UNIT 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322465301",
            "telephone_number": "904-652-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "MORGAN",
        "middle_name": "RAE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11005739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.