Active NPI
Morgan Taylor Funk, AGPCNP-BC
- Adult Health Nurse Practitioner
- Kankakee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 209018480
- Practice address
- 375 N Wall St Ste P510
Kankakee, IL 60901-3492 - Phone
- (815) 935-0750
- Fax
- (815) 935-8797
- NPI assigned
- Feb 20, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209018480 | IL | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 209018480 | IL |
Addresses
Primary practice location
375 N Wall St Ste P510
Kankakee, IL 60901-3492
Mailing address
225 W 2ND St
Momence, IL 60954-1521
Phone (815) 954-9419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12276 San Jose Blvd
Jacksonville, FL 32223-8628
Phone (813) 280-0124
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209018480 | IL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Health System | Current | Accepting new patients | |
| Chronius Care Medical Group PLLC | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Chronius Physical Therapy LLC | Past | Accepting new patients |
Locations
12276 San Jose Blvd
Bldg 700
Jacksonville, FL 32223
Phone (813) 280-0124
300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666
375 N Wall St
Ste P520
Kankakee, IL 60901
Phone (815) 933-0194
375 N Wall St
Ste P510
Kankakee, IL 60901
Phone (815) 935-0750
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
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.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1194409920
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
- Psychiatry Physician
- Kankakee, IL
- NPI 1336354430
-
- Physical Therapist
- Raleigh, NC
- NPI 1073443271
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1780141234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 W 2ND ST",
"city": "MOMENCE",
"state": "IL",
"postal_code": "609541521",
"telephone_number": "815-954-9419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 N WALL ST STE P510",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609013492",
"telephone_number": "815-935-0750",
"fax_number": "815-935-8797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "MORGAN",
"middle_name": "TAYLOR",
"name_prefix": "Ms.",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-20",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209018480",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IL",
"license": "209018480",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kankakee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.