Individual provider Active NPI

Jess Morgan, FNP

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1760840581
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8451 Issued in AZ
Practice address
8160 W Union Hills Dr Ste 103-13
Glendale, AZ 85308-8130
Phone
(623) 259-6900
Fax
(623) 259-6959
NPI assigned
Feb 8, 2016
Reactivated
Dec 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8451 AZ Primary

Addresses

Primary practice location

8160 W Union Hills Dr Ste 103-13
Glendale, AZ 85308-8130

Mailing address

8160 W Union Hills Dr Ste 103-13
Glendale, AZ 85308-8130
Phone (623) 259-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160309002872 AZ Practitioner - Nurse Practitioner 6406152933 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8451AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC CurrentSince Mar 1, 2021 Accepting new patients
Regenix Wound Care LLC CurrentSince Jul 1, 2025 Accepting new patients
Total Mobile Medical CurrentSince Dec 1, 2023 Accepting new patients
MD Roomservice-Doctorcare CurrentSince May 5, 2019 Accepting new patients
Prescott Healthcare Solutions LLC Family PastSince Jun 12, 2022 Accepting new patients

Locations

8160 W Union Hills Dr
Ste 10313
Glendale, AZ 85308
Phone (623) 259-6900

18205 N 51st Ave
Ste 107
Glendale, AZ 85308
Phone (623) 624-9683

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

7558 W Thunderbird Rd
Ste 1459
Peoria, AZ 85381

7010 E Acoma Dr
Ste 102
Scottsdale, AZ 85254
Phone (480) 575-0576

14780 W Mountain View Blvd
Ste 110
Surprise, AZ 85374

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1760840581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 W UNION HILLS DR STE 103-13",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088130",
            "telephone_number": "623-259-6900",
            "fax_number": "623-259-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 W UNION HILLS DR STE 103-13",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088130",
            "telephone_number": "623-259-6900",
            "fax_number": "623-259-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "JESS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-08",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "deactivation_date": "2023-12-11",
        "reactivation_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.