Individual provider Active NPI

Mercedes Morris, FNP-C

  • Family Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1770018012
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9892 Issued in AZ
Practice address
13555 W McDowell Rd Ste 209
Goodyear, AZ 85395
Phone
(623) 512-4162
Fax
(623) 512-4176
NPI assigned
Apr 24, 2017
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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 AP9892 AZ Primary

Addresses

Primary practice location

13555 W McDowell Rd Ste 209
Goodyear, AZ 85395

Mailing address

13555 W McDowell Rd Ste 209
Goodyear, AZ 85395-2628
Phone (623) 512-4162

Other identifiers 1

IdentifierTypeStateIssuer
856161MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240206002872 NC Practitioner - Nurse Practitioner 1557638921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-8 LLCGroup PAC ID 3870740012, 47 clinicians

Practice addresses (Care Compare)

7473 NC Hwy 22
Whispering Pines, NC 28327-8514
Phone (910) 215-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
73
Promoting interoperability
94
Improvement activities
40
Cost
82.08

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-8, LLC CurrentSince Jan 24, 2024 Accepting new patients
MCPC-8, LLC CurrentSince Jan 24, 2024 Accepting new patients
FHPG, LLC CurrentSince Mar 1, 2026 Accepting new patients
MCPC-8, LLC Current Accepting new patients
FHPG, LLC CurrentSince Mar 1, 2026 Accepting new patients
MCPC-8, LLC Past Accepting new patients

Locations

208 W Salisbury St
Ste A
Asheboro, NC 27203
Phone (336) 523-0040

3716 Morganton Rd
Ste 2
Fayetteville, NC 28303
Phone (910) 215-5100

1021 W Hamlet Ave
Hamlet, NC 28345
Phone (910) 417-4100

150 Ivey Ln
Ste A
Pinehurst, NC 28374
Phone (910) 215-5200

4565 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-5100

1602 Westover Dr
Sanford, NC 27330
Phone (919) 897-2250

1690 US Highway 1 S
Ste 100
Southern Pines, NC 28387
Phone (910) 684-2055

522 Allen St
Ste 203
Troy, NC 27371
Phone (910) 571-5151

7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100

Interoperability endpoints

  • Direct secure messaging: mmorris117275@firsthealth.direct-ci.net

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1770018012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 209",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952628",
            "telephone_number": "623-512-4162",
            "fax_number": "623-512-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 209",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-512-4162",
            "fax_number": "623-512-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "MERCEDES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856161",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.