Individual provider Active NPI

Will Morris

  • Emergency Medicine Physician
  • Peoria, IL
National Provider Identifier
1871027888
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2020026475 Issued in MO
Practice address
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone
(309) 655-2109
NPI assigned
Apr 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0543184 KS
Student in an Organized Health Care Education/Training Program 390200000X IL
Emergency Medicine Physician 207P00000X 2020026475 MO Primary

Addresses

Primary practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Mailing address

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 655-2109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200902000241 MO Practitioner - Emergency Medicine 4486920139 Reassigns benefits to 5 organizations
I20210121003048 KS Practitioner - Emergency Medicine 4486920139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Emergency Medicine LLCGroup PAC ID 3971037565, 18 clinicians
Cep America - Kansas LLCGroup PAC ID 3971814286, 59 clinicians

Practice addresses (Care Compare)

201 NW R D Mize Rd
Blue Springs, MO 64014-2513
Phone (816) 228-5900

929 N Saint Francis St
Via Christi Hospital St Francis
Wichita, KS 67214-3821
Phone (316) 268-5000

Hospital & facility affiliations

  • Cass Regional Medical Center Hospital, Harrisonville, MO, CCN 261324
  • St Mary'S Medical Center Hospital, Blue Springs, MO, CCN 260193
  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
  • St Joseph Medical Center Hospital, Kansas City, MO, CCN 260085

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
72.61
Promoting interoperability
100
Improvement activities
30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0543184KSMDEmergency Medicine Physician
2020026475MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Kansas LLC Emergency Medicine CurrentSince Feb 15, 2021 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Jun 22, 2021 Accepting new patients
Missouri Emergency Medicine LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
Saint Luke'S Hospital of Trenton Current Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Cep America - Kansas LLC Emergency Medicine CurrentSince Feb 15, 2021 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
Saint Luke'S Hospital of Trenton CurrentSince Mar 1, 2021 Accepting new patients
Omni Emergency Medicine LLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Saint Lukes Hospital of Chillicothe Emergency Medicine CurrentSince Jun 22, 2021 Accepting new patients
Saint Luke'S Hospital of Trenton Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

201 W Road Mize Rd
Blue Springs, MO 64014
Phone (816) 228-5900

2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

Interoperability endpoints

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 12

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 4

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": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1871027888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001",
            "telephone_number": "309-655-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001",
            "telephone_number": "309-655-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "WILL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-17",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "0543184",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2020026475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.