Individual provider Active NPI

Courtney Ann Morgan, NP

  • Adult Medicine Physician
  • Grand Haven, MI
National Provider Identifier
1851110753
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
4704324172 Issued in MI
Practice address
17162 Dune View Dr Apt 108
Grand Haven, MI 49417-7917
Phone
(231) 726-8201
NPI assigned
Oct 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 4704324172 MI
Adult Medicine Physician 207QA0505X 4704324172 MI Primary

Addresses

Primary practice location

17162 Dune View Dr Apt 108
Grand Haven, MI 49417-7917

Mailing address

17162 Dune View Dr Apt 108
Grand Haven, MI 49417-7917
Phone (231) 726-8201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20241219001982 MI Practitioner - Nurse Practitioner 6800323536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeview Health Center PCGroup PAC ID 4082799655, 5 clinicians

Practice addresses (Care Compare)

4118 Kalamazoo Ave SE
Grand Rapids, MI 49508-3605
Phone (616) 455-7300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Health Center PC CurrentSince Nov 6, 2024 Accepting new patients

Locations

2549 Momentum Pl
Chicago, IL 60689
Phone (269) 216-9852

4118 Kalamazoo Ave SE
Grand Rapids, MI 49508
Phone (616) 391-5700

570 Seminole Rd
Ste 20
Norton Shores, MI 49444
Phone (231) 759-5092

Organizations & group practices 1

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 2

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": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1851110753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17162 DUNE VIEW DR APT 108",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494177917",
            "telephone_number": "231-726-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17162 DUNE VIEW DR APT 108",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494177917",
            "telephone_number": "231-726-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "COURTNEY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4704324172",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MI",
            "license": "4704324172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.