Individual provider Active NPI

Timothy Morse, APN

  • Family Nurse Practitioner
  • Bryant, AR
National Provider Identifier
1811130867
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A03210 Issued in AR
Practice address
319 Bryant Ave
Suite 1
Bryant, AR 72022-3815
Phone
(501) 653-0353
Fax
(501) 653-0347
NPI assigned
Apr 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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 A03210 AR Primary

Addresses

Primary practice location

319 Bryant Ave
Suite 1
Bryant, AR 72022-3815

Mailing address

319 Bryant Ave
Suite 1
Bryant, AR 72022-3815
Phone (501) 653-0353

Other identifiers 1

IdentifierTypeStateIssuer
A003210OtherARSTATE LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20090908000169 AR Practitioner - Nurse Practitioner 7618022120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

819 W Carpenter St
Benton Family Clinic
Benton, AR 72015-3349
Phone (501) 778-8264

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A03210ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Jun 19, 2017 Accepting new patients
Arkansas Health Group CurrentSince Jun 19, 2017 Accepting new patients
Arkansas Health Group Past Accepting new patients
Central Arkansas Spine Specialist Past Accepting new patients

Locations

819 W Carpenter St
Benton, AR 72015
Phone (501) 663-6262

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

Interoperability endpoints

  • Direct secure messaging: tmorse193942@direct.baptist-healthar.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1811130867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 BRYANT AVE",
            "address_2": "SUITE 1",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720223815",
            "telephone_number": "501-653-0353",
            "fax_number": "501-653-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BRYANT AVE",
            "address_2": "SUITE 1",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720223815",
            "telephone_number": "501-653-0353",
            "fax_number": "501-653-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSE",
        "first_name": "TIMOTHY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "A003210",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

Verify at the official NPI Registry.