Active NPI
Susan Anne Morgan, CNM, FNP
- Nurse Practitioner
- Coos Bay, OR
National Provider Identifier
1962487108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 200250115NP
- Practice address
- 1775 Thompson Rd.
Coos Bay, OR 97420-2125 - Phone
- (541) 269-8538
- Fax
- (541) 267-5083
- NPI assigned
- Dec 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 200250115NP | OR | Primary |
| Advanced Practice Midwife | 367A00000X | 077010025N5 | OR |
Addresses
Primary practice location
1775 Thompson Rd.
Coos Bay, OR 97420-2125
Mailing address
1775 Thompson Rd.
Coos Bay, OR 97420-2125
Phone (541) 269-8538
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 076815 | Medicaid | OR | |
| 1407812365 | Other | OR | NBMC NPI NUMBER-GROUP |
| 03-15-2007 | Other | OR | NBMC TERMINATION DATE |
| 93-0635514 | Other | OR | GROUP TAX ID FOR BILLING |
Other names 1
- Anne Morgan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200250115NP | OR | MD | Nurse Practitioner |
| 077010025N5 | OR | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bend Medical Center Inc | Current | Accepting new patients |
Locations
1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333
1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151
1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090
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.
-
- Multi-Specialty Clinic/Center
- Coos Bay, OR
- NPI 1407812365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1962487108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 THOMPSON RD.",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202125",
"telephone_number": "541-269-8538",
"fax_number": "541-267-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 THOMPSON RD.",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202125",
"telephone_number": "541-269-8538",
"fax_number": "541-267-5083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "SUSAN",
"middle_name": "ANNE",
"credential": "CNM, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-09",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "200250115NP",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "077010025N5",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "076815",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBMC NPI NUMBER-GROUP",
"identifier": "1407812365",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBMC TERMINATION DATE",
"identifier": "03-15-2007",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX ID FOR BILLING",
"identifier": "93-0635514",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "MORGAN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.