Individual provider Active NPI

Morgan J Stobaugh, MNSC, FNP-BC

  • Family Nurse Practitioner
  • Bryant, AR
National Provider Identifier
1780137349
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004850 Issued in AR
Practice address
507 W Commerce Dr
Bryant, AR 72022-7512
Phone
(501) 847-0082
Fax
(501) 847-6680
NPI assigned
Aug 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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 A004850 AR Primary

Addresses

Primary practice location

507 W Commerce Dr
Bryant, AR 72022-7512

Mailing address

507 W Commerce Dr
Bryant, AR 72022-7512
Phone (501) 847-0082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Silver Fir CT
Little Rock, AR 72212-2000

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1780137349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W COMMERCE DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227512",
            "telephone_number": "501-847-0082",
            "fax_number": "501-847-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W COMMERCE DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227512",
            "telephone_number": "501-847-0082",
            "fax_number": "501-847-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOBAUGH",
        "first_name": "MORGAN",
        "middle_name": "J",
        "credential": "MNSC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

Verify at the official NPI Registry.