Individual provider Active NPI

Kathleen E Morris, FNP-C

  • Family Nurse Practitioner
  • Selbyville, DE
National Provider Identifier
1871141325
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R179128 Issued in MD
Practice address
15 N Williams St
Selbyville, DE 19975-7514
Phone
(410) 436-8004
NPI assigned
Aug 28, 2019
Last updated
Aug 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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 R179128 MD Primary

Addresses

Primary practice location

15 N Williams St
Selbyville, DE 19975-7514

Mailing address

PO Box 1495
Ocean City, MD 21843-1495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200430001018 DE Practitioner - Nurse Practitioner 4284064411 Reassigns benefits to 2 organizations
I20200826002645 MD Practitioner - Nurse Practitioner 4284064411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Atlantic IncGroup PAC ID 2365437837, 95 clinicians
Tidalhealth Primary Care LLCGroup PAC ID 7911320635, 63 clinicians

Practice addresses (Care Compare)

15 N Williams St
Atlantic General Primary Care
Selbyville, DE 19975-7514
Phone (302) 436-8004

38394 Dupont Blvd
Unit H
Selbyville, DE 19975-3049
Phone (302) 524-5007

400 Eastern Shore Dr
Salisbury, MD 21804-5513
Phone (410) 543-8240

9714 Healthway Dr
Berlin, MD 21811-1154
Phone (410) 641-3340

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic General Hospital Corp CurrentSince May 26, 2020 Accepting new patients
Tidalhealth Primary Care, LLC CurrentSince Mar 1, 2026 Accepting new patients
Tidalhealth Atlantic, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Atlantic General Hospital Corporation CurrentSince Mar 1, 2020 Accepting new patients
Atlantic Immedicare LLC Past Accepting new patients

Locations

30265 Commerce Dr
Unit 206
Millsboro, DE 19966
Phone (302) 732-8400

15 N Williams St
Selbyville, DE 19975
Phone (302) 436-8004

38394 DuPont Blvd
Unit H
Selbyville, DE 19975
Phone (302) 524-5007

10026 Old Ocean City Blvd
Ste 1
Berlin, MD 21811

9714 Healthway Dr
Berlin, MD 21811
Phone (410) 641-2600

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

Interoperability endpoints

  • Direct secure messaging: kathleenmorris@agh.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1871141325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1495",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218431495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N WILLIAMS ST",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199757514",
            "telephone_number": "410-436-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R179128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selbyville, DE

Sources for this page

Verify at the official NPI Registry.