Individual provider Active NPI

Tamsen W Morgan, PA-C

  • Physician Assistant
  • La Farge, WI
National Provider Identifier
1760425193
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
784 Issued in WI
Practice address
206 N Mill St
La Farge, WI 54639-6601
Phone
(608) 625-2494
Fax
(608) 638-5011
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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 784 WI Primary

Addresses

Primary practice location

206 N Mill St
La Farge, WI 54639-6601

Mailing address

206 North Mill Street
La Farge, WI 54639-6601
Phone (608) 625-2494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20110215000916 WI Practitioner - Physician Assistant 6305026832 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
784WIMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon Memorial Healthcare, Inc. Current Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Mar 1, 1999 Accepting new patients
Vernon Memorial Healthcare, Inc CurrentSince Mar 1, 1999 Accepting new patients

Locations

206 N Mill St
La Farge, WI 54639
Phone (608) 625-2494

407 S Main St
Ste 400
Viroqua, WI 54665
Phone (608) 637-3174

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

Interoperability endpoints

  • Direct secure messaging: tmorgan10750@direct.emplifyhealth.org

Organizations & group practices 3

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1760425193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 NORTH MILL STREET",
            "city": "LA FARGE",
            "state": "WI",
            "postal_code": "546396601",
            "telephone_number": "608-625-2494",
            "fax_number": "608-638-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N MILL ST",
            "city": "LA FARGE",
            "state": "WI",
            "postal_code": "546396601",
            "telephone_number": "608-625-2494",
            "fax_number": "608-638-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "TAMSEN",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Farge, WI

Sources for this page

Verify at the official NPI Registry.