Individual provider Active NPI

Morgan Taylor Funk, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Kankakee, IL
National Provider Identifier
1780141234
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209018480 Issued in IL
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

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190820004017 IL Practitioner - Nurse Practitioner 3173851771 Reassigns benefits to 1 organization
I20250520000513 FL Practitioner - Nurse Practitioner 3173851771 Reassigns benefits to 1 organization

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
Chronius Care Medical Group PLLCGroup PAC ID 1850820986, 6 clinicians

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

LicenseStateTypeSpecialty
209018480ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Health System CurrentSince Aug 2, 2019 Accepting new patients
Chronius Care Medical Group PLLC CurrentSince Mar 4, 2025 Accepting new patients
Riverside Health System CurrentSince Aug 2, 2019 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.

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

Verify at the official NPI Registry.