Active NPI
Morgan Nicole Nolletti
- Physician Assistant
- Yreka, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 59792
- Practice address
- 444 Bruce St
Yreka, CA 96097-3450 - Phone
- (530) 842-4121
- NPI assigned
- Sep 30, 2019
- Last updated
- Aug 27, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA197935 | OR | |
| Physician Assistant | 363A00000X | NU | ||
| Physician Assistant | 363A00000X | 59792 | CA | Primary |
Addresses
Primary practice location
444 Bruce St
Yreka, CA 96097-3450
Mailing address
444 Bruce St
Yreka, CA 96097-3450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
444 Bruce St
Yreka, CA 96097-3450
Phone (530) 842-4121
475 Bruce St
Yreka, CA 96097-3474
Phone (530) 842-4121
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA197935 | OR | MD | Physician Assistant |
Interoperability endpoints
- mnolletti2463632@oc.providencedirect.org
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.
-
dba Fairchild Medical Center
- Critical Access Hospital
- Yreka, CA
- NPI 1093892275
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fairchild Medical Center
- Critical Access Hospital
- Yreka, CA
- NPI 1093892275
-
dba Fairchild Medical Center
- Critical Access Hospital
- Yreka, CA
- NPI 1952701369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1710528898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 BRUCE ST",
"city": "YREKA",
"state": "CA",
"postal_code": "960973450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 BRUCE ST",
"city": "YREKA",
"state": "CA",
"postal_code": "960973450",
"telephone_number": "530-842-4121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLLETTI",
"first_name": "MORGAN",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA197935",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "59792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yreka, CA
- Brian Nicholson, RN
- Catherine M Nicka, MD
- Nina Yaftali
- Ricardo Noble, MD
- Darlene Ann Noguez de la Cerda, M.A.
- Norcal Transit Authority LLC (NorCal Transit Authority)
- Sarah Jane Norris, APRN, WHNP-BC
- Barbara Best North, M.D.
- Northern Valley Catholic Social Service, Inc. (Nvcss) (Six Stones Wellness Center)
- Michele Marie Norush, BS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.