Individual provider Active NPI

Robin Morrisey, N. P.

  • Adult Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1881036333
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
12302 Issued in CA
Practice address
10140 Campus Point Dr Ste 140
San Diego, CA 92121-1520
Phone
(858) 678-7050
NPI assigned
Jul 25, 2013
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 497783 CA
Adult Health Nurse Practitioner 363LA2200X 12302 CA Primary

Addresses

Primary practice location

10140 Campus Point Dr Ste 140
San Diego, CA 92121-1520

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 678-7101

Other practice location 1

4900 California Ave
Tower B, Ste 210B
Bakersfield, CA 93309-9330
Phone (866) 949-0108

Other identifiers 1

IdentifierTypeStateIssuer
12302OtherCANP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20260414000549 WA Practitioner - Nurse Practitioner 8527201474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

330 Edmondson St
Summerville, GA 30747-2141

PO Box
Kansas City, MO 64180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12302CAMDAddiction (Substance Use Disorder) Counselor
497783CAMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Concertocare Medical Group of California, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ms_rmorrise@landmarkhealth-direct.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1881036333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 RANCHO BERNARDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "858-678-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10140 CAMPUS POINT DR STE 140",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211520",
            "telephone_number": "858-678-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 California Ave",
            "address_2": "Tower B, Ste 210B",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933099330",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "fax_number": "901-422-7636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISEY",
        "first_name": "ROBIN",
        "name_prefix": "Ms.",
        "credential": "N. P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "497783",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "12302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "12302",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.