Individual provider Active NPI

Morgan Frances Bos, MMS, PA-C

  • Physician Assistant
  • Port Saint Lucie, FL
National Provider Identifier
1700368065
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1400 SE Goldtree Dr Ste 103
Port Saint Lucie, FL 34952-7582
Phone
(772) 335-8446
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X FL Primary

Addresses

Primary practice location

1400 SE Goldtree Dr Ste 103
Port Saint Lucie, FL 34952-7582

Mailing address

1400 SE Goldtree Dr Ste 103
Port Saint Lucie, FL 34952-7582
Phone (978) 609-6010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20221230001691 MA Practitioner - Physician Assistant 6608115373 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Public Health Commission CurrentSince Dec 5, 2024 Accepting new patients
Patriot Urgent Care Professionals PC CurrentSince Dec 16, 2022 Accepting new patients
Palm Beach General Surgery LLC PastSince Jun 15, 2021 Accepting new patients

Locations

154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

1030 Main St
Waltham, MA 02451
Phone (781) 894-6900

Interoperability endpoints

  • Direct secure messaging: morgan.hancock@hca4.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": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1700368065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SE GOLDTREE DR STE 103",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527582",
            "telephone_number": "978-609-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SE GOLDTREE DR STE 103",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527582",
            "telephone_number": "772-335-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOS",
        "first_name": "MORGAN",
        "middle_name": "FRANCES",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.