Individual provider Active NPI

Morgan Nicole Keller, FNP-C

  • Family Nurse Practitioner
  • Blue Springs, MO
National Provider Identifier
1912608118
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023007990 Issued in MO
Practice address
220 NW R D Mize Rd Ste 101
Blue Springs, MO 64014-2540
Phone
(816) 988-8464
Fax
(816) 988-8245
NPI assigned
Mar 14, 2023
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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 2023007990 MO Primary

Addresses

Primary practice location

220 NW R D Mize Rd Ste 101
Blue Springs, MO 64014-2540

Mailing address

220 NW R D Mize Rd Ste 101
Blue Springs, MO 64014-2540
Phone (816) 988-8464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20231127002608 KS Practitioner - Nurse Practitioner 0840648119 Reassigns benefits to 2 organizations
I20231127002729 MO Practitioner - Nurse Practitioner 0840648119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Hair Health CareGroup PAC ID 9032517784, 2 clinicians
Copper Canyon Care PCGroup PAC ID 9335653823, 2 clinicians

Practice addresses (Care Compare)

120 S Central Ave
Clayton, MO 63105-1705
Phone (913) 579-5695

8500 Pflumm Rd
Lenexa, KS 66215-2428
Phone (913) 579-5695

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
46.78 of 100Reported as apm
Quality
33.56
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023007990MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Hair Health Care Single Specialty CurrentSince Oct 21, 2023 Accepting new patients

Locations

15621 W 87th Street Pkwy
Lenexa, KS 66219
Phone (913) 213-5343

120 S Central Ave
Saint Louis, MO 63105
Phone (314) 201-6459

120 S Central Ave
Ste 1050
Saint Louis, MO 63105

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.

Hospital & facility affiliations 1

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": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1912608118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NW R D MIZE RD STE 101",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142540",
            "telephone_number": "816-988-8464",
            "fax_number": "816-988-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NW R D MIZE RD STE 101",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142540",
            "telephone_number": "816-988-8464",
            "fax_number": "816-988-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MORGAN",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023007990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.