Individual provider Active NPI

Jeremy Harrison Morris, FNP-C, APRN

  • Family Nurse Practitioner
  • Niceville, FL
National Provider Identifier
1922629591
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007023 Issued in FL
Practice address
1001 College Blvd W Ste D
Niceville, FL 32578-1049
Phone
(850) 389-8333
Fax
(850) 279-6031
NPI assigned
May 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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 APRN11007023 FL Primary

Addresses

Primary practice location

1001 College Blvd W Ste D
Niceville, FL 32578-1049

Mailing address

1865 Edge Ave
Niceville, FL 32578-2971
Phone (850) 389-8333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200623000237 FL Practitioner - Nurse Practitioner 9032531991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael P Roberts MD PAGroup PAC ID 8426125311, 4 clinicians

Practice addresses (Care Compare)

1001 College W BLDG
1 Suite D
Niceville, FL 32578-1049
Phone (850) 389-8333

Hospital & facility affiliations

  • HCA Florida Twin Cities Hospital Hospital, Niceville, FL, CCN 100054
  • North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122
  • HCA Florida Fort Walton-Destin Hospital Hospital, Fort Walton Beach, FL, CCN 100223
  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292

Merit-based Incentive Payment System (MIPS)

Final score
91.03 of 100Reported as group
Quality
97.51
Improvement activities
40
Cost
73.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael P Roberts MD PA CurrentSince Jun 16, 2020 Accepting new patients

Locations

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

1001 College Blvd W
Ste D
Niceville, FL 32578
Phone (850) 389-8333

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCEJCA

Organizations & group practices 1

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": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1922629591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 EDGE AVE",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782971",
            "telephone_number": "850-389-8333",
            "fax_number": "850-279-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COLLEGE BLVD W STE D",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781049",
            "telephone_number": "850-389-8333",
            "fax_number": "850-279-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JEREMY",
        "middle_name": "HARRISON",
        "credential": "FNP-C, APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-05",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

Verify at the official NPI Registry.