Active NPI
Ilene Morgan, PA-C
- Physician Assistant
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9117961
- Practice address
- 1301 S International Pkwy Ste 2011
Lake Mary, FL 32746-1411 - Phone
- (407) 774-9880
- NPI assigned
- Oct 9, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9117961 | FL | Primary |
Addresses
Primary practice location
1301 S International Pkwy Ste 2011
Lake Mary, FL 32746-1411
Mailing address
15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Nova Southeastern College of Osteo Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
1431 Orange Camp Rd
Suite 112
Deland, FL 32724-7770
Phone (407) 774-9880
160 E Lake Howard Dr
Winter Haven, FL 33881-3155
Phone (863) 299-1251
963 Town Ctr Dr
Suite 100
Orange City, FL 32763-8254
Phone (407) 774-9880
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida ENT Associates, Inc. | Current | Accepting new patients |
Locations
1431 Orange Camp Rd
Ste 112
Deland, FL 32724
Phone (386) 774-9880
1301 S International Pkwy
Ste 2011
Lake Mary, FL 32746
Phone (407) 767-8554
302 W Central Ave
Lake Wales, FL 33853
Phone (863) 421-4558
15280 NW 79th Ct
Ste 200
Miami Lakes, FL 33016
963 Town Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 774-9880
160 E Lake Howard Dr
Winter Haven, FL 33881
Phone (863) 299-1251
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
dba South Florida ENT Associates, Inc.
- Otolaryngology Physician
- West Miami, FL
- NPI 1184625733
-
- Otolaryngology Physician
- Orange City, FL
- NPI 1710932405
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba AdventHealth DeLand
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1720869571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15280 NW 79TH CT STE 200",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330165873",
"telephone_number": "305-558-3724",
"fax_number": "786-907-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S INTERNATIONAL PKWY STE 2011",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461411",
"telephone_number": "407-774-9880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "ILENE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-09",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9117961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.