Individual provider Active NPI

Morgan Gail Drungell, PA-C

  • Medical Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1902511215
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110009075 Issued in VA
Practice address
3198 Pacific Ave Ste 104
Virginia Beach, VA 23451-2949
Phone
(757) 428-1911
NPI assigned
Jan 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110009075 VA Primary

Addresses

Primary practice location

3198 Pacific Ave Ste 104
Virginia Beach, VA 23451-2949

Mailing address

3198 Pacific Ave Ste 104
Virginia Beach, VA 23451-2949
Phone (757) 428-1911

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL medical Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20231116000426 AZ Practitioner - Physician Assistant 0941657720 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110009075VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Doctor's in, PC CurrentSince Jul 2, 2023 Accepting new patients

Locations

3198 Pacific Ave
Ste 104
Virginia Beach, VA 23451
Phone (757) 428-1911

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3738/brand/1/csg/1/fhir/r4

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": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1902511215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3198 PACIFIC AVE STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234512949",
            "telephone_number": "757-428-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3198 PACIFIC AVE STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234512949",
            "telephone_number": "757-428-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUNGELL",
        "first_name": "MORGAN",
        "middle_name": "GAIL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110009075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "medical",
            "affiliation": "N",
            "endpointDescription": "urgentcare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "primary care",
            "address_1": "3198 Pacific Ave Ste 104",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234512949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.