Individual provider Active NPI

Wende Sue Morgan, NP

  • Nurse Practitioner
  • Rutland, VT
National Provider Identifier
1962510594
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1010021207 Issued in VT
Practice address
215 Stratton Rd
Rutland, VT 05701-4621
Phone
(802) 773-3386
Fax
(802) 773-4578
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1010021207 VT Primary

Addresses

Primary practice location

215 Stratton Rd
Rutland, VT 05701-4621

Mailing address

71 Allen St
Suite 403
Rutland, VT 05701-4570
Phone (802) 772-4414

Other identifiers 4

IdentifierTypeStateIssuer
043346203OtherCIGNA
ONP2022MedicaidVT
04173819MedicaidNY
48416OtherVTBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20060123000358 VT Practitioner - Nurse Practitioner 3870517451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

231 N Main St
Rutland, VT 05701-2412
Phone (800) 468-9118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1010021207VTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region Inc CurrentSince Jul 12, 2010 Accepting new patients
Community Health Centers of the Rutland Region, Inc. Past Accepting new patients

Locations

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

71 Allen St
Ste 403
Rutland, VT 05701
Phone (802) 772-4414

215 Stratton Rd
Rutland, VT 05701
Phone (802) 773-3386

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

Interoperability endpoints

  • Direct secure messaging: wmorgan@chcrr.medentdirect.com

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1962510594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ALLEN ST",
            "address_2": "SUITE 403",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014570",
            "telephone_number": "802-772-4414",
            "fax_number": "802-772-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 STRATTON RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014621",
            "telephone_number": "802-773-3386",
            "fax_number": "802-773-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "WENDE",
        "middle_name": "SUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "1010021207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "043346203",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ONP2022",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04173819",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48416",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.