Individual provider Active NPI

Christian Marcelo Morales, NP-C

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1992253959
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9318352 Issued in FL
Practice address
1414 SE 43Rd Ter
Cape Coral, FL 33904-7361
Phone
(239) 537-8779
NPI assigned
Sep 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9318352 FL Primary
Primary Care Nurse Practitioner 363LP2300X 9318352 FL

Addresses

Primary practice location

1414 SE 43Rd Ter
Cape Coral, FL 33904-7361

Mailing address

1414 SE 43Rd Ter
Cape Coral, FL 33904-7361
Phone (239) 537-8779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 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
I20170301001723 FL Practitioner - Nurse Practitioner 4880978311 Reassigns benefits to 3 organizations
I20240515002858 MI Practitioner - Nurse Practitioner 4880978311 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9318352FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vijay Ganatra, M.D., P.a. CurrentSince Dec 11, 2016 Accepting new patients
Molina Care Connections, LLC. CurrentSince Mar 4, 2024 Accepting new patients
Promised Paradise Alf Inc Current Accepting new patients
Inpatient Medical Services, Inc CurrentSince Dec 1, 2020 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

8300 NW 33rd St
Ste 400
Doral, FL 33122
Phone (904) 229-7396

13770 Plantation Rd
Ste 4
Fort Myers, FL 33912
Phone (239) 561-6263

2525 First St
Fort Myers, FL 33901
Phone (239) 332-3333

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

1154 Lee Blvd
Ste 3
Lehigh Acres, FL 33936
Phone (239) 230-2273

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

Interoperability endpoints

  • Direct secure messaging: cmorales16162@direct-prd.molinahealthcare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1992253959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 SE 43RD TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047361",
            "telephone_number": "239-537-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 SE 43RD TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047361",
            "telephone_number": "239-537-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "CHRISTIAN",
        "middle_name": "MARCELO",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9318352",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9318352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.