Individual provider Active NPI

Nicole Marie Morgan, NP

  • Gerontology Nurse Practitioner
  • Flint, MI
National Provider Identifier
1851894182
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704295845 Issued in MI
Practice address
G3252 Beecher Rd
Flint, MI 48532-3614
Phone
(810) 230-6800
Fax
(810) 230-0715
NPI assigned
Mar 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704295845 MI Primary

Addresses

Primary practice location

G3252 Beecher Rd
Flint, MI 48532-3614

Mailing address

2764 Parkway PL
Hartland, MI 48353-3232
Phone (810) 844-3658

Other practice location 1

2342 Stonebridge Dr Bldg H
Flint, MI 48532-5406
Phone (810) 732-3812

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
I20240424000185 MI Practitioner - Certified Clinical Nurse Specialist (CNS) 0941562433 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704295845MIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates, PC CurrentSince May 3, 2024 Accepting new patients

Locations

G3252 Beecher Rd
Flint, MI 48532
Phone (810) 230-6800

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1851894182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 PARKWAY PL",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483533232",
            "telephone_number": "810-844-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3252 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323614",
            "telephone_number": "810-230-6800",
            "fax_number": "810-230-0715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2342 Stonebridge Dr Bldg H",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485325406",
            "country_code": "US",
            "telephone_number": "810-732-3812",
            "fax_number": "810-515-1938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704295845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.