Individual provider Active NPI

Nancy Pettit Morgan, FNP-C

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1922644020
Registry record updated Nov 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10191327 Issued in FL
Practice address
400 Baxter Rd
Kissimmee, FL 34747-1342
Phone
(407) 276-6662
NPI assigned
Nov 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 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 10191327 FL Primary

Addresses

Primary practice location

400 Baxter Rd
Kissimmee, FL 34747-1342

Mailing address

400 Baxter Rd
Kissimmee, FL 34747-1342
Phone (407) 276-6662

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
I20200122001089 FL Practitioner - Nurse Practitioner 6800221805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Spine and Pain InstituteGroup PAC ID 7012294556, 14 clinicians

Practice addresses (Care Compare)

1804 Oakley Seaver Dr
Suite F
Clermont, FL 34711-1925
Phone (407) 499-0755

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10191327FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Spine & Pain Institute CurrentSince Dec 14, 2019 Accepting new patients
Quality 1St Medical Group, LLC CurrentSince Jan 31, 2021 Accepting new patients

Locations

1804 Oakley Seaver Dr
Ste F
Clermont, FL 34711
Phone (407) 499-0755

410 Lionel Way
Ste 202
Davenport, FL 33837
Phone (407) 499-0755

1724 33rd St
Ste 200
Orlando, FL 32839
Phone (407) 385-1551

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574467200000",
    "number": "1922644020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BAXTER RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347471342",
            "telephone_number": "407-276-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BAXTER RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347471342",
            "telephone_number": "407-276-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "NANCY",
        "middle_name": "PETTIT",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-23",
        "last_updated": "2019-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "10191327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.