Individual provider Active NPI

Joseph Michael Morel, CRNA

  • Certified Registered Nurse Anesthetist
  • Martin, TN
National Provider Identifier
1780649160
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN 43009 Issued in TN
Practice address
161 Mount Pelia Rd
Martin, TN 38237-3811
Phone
(731) 588-0001
Fax
(731) 587-2775
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN 43009 TN Primary

Addresses

Primary practice location

161 Mount Pelia Rd
Martin, TN 38237-3811

Mailing address

204 Poplar St
Martin, TN 38237-3121
Phone (731) 588-0001

Other identifiers 2

IdentifierTypeStateIssuer
3600144MedicaidTN
4040599OtherTNBLUE CROSS/BLUE SHIELD TN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 43009TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Anesthesia Group Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 13, 2002 Accepting new patients
Kentenn Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
Dr. Mark Armstrong MD PC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2016 Accepting new patients

Locations

2000 Holiday Ln
Fulton, KY 42041
Phone (270) 472-2522

161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261

1722 E Reelfoot Ave
Ste 1
Union City, TN 38261
Phone (731) 885-0085

1109 E Reelfoot Ave
Ste C
Union City, TN 38261
Phone (731) 884-0600

Organizations & group practices 3

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1780649160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 POPLAR ST",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373121",
            "telephone_number": "731-588-0001",
            "fax_number": "731-587-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MOUNT PELIA RD",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373811",
            "telephone_number": "731-588-0001",
            "fax_number": "731-587-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREL",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN 43009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3600144",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD TN",
            "identifier": "4040599",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.