Active NPI
Morgan Pearsall, PA-C
- Physician Assistant
- Windermere, FL
National Provider Identifier
1992348171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9112739
- Practice address
- 11600 Lakeside Village LN
Windermere, FL 34786-7024 - Phone
- (407) 876-2273
- NPI assigned
- Oct 21, 2019
- Last updated
- Sep 18, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9112739 | FL | Primary |
Addresses
Primary practice location
11600 Lakeside Village LN
Windermere, FL 34786-7024
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (407) 876-2273
Other practice location 1
11600 Lakeside Village Ln
Windermere, FL 34786-7024
Phone (407) 876-2273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | FL | FL MEDICARE |
| 9112739 | Other | FL | PA LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpearsall@windermeremedicalcenter.com | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260128003495 | FL | Order and Referring Only - Physician Assistant | 9739599929 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9112739 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Family Care LLC | Current | Accepting new patients |
Interoperability endpoints
- morganpearsall@pmv-fl.direct.office.nextgen.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Express Family Clinic
- Primary Care Clinic/Center
- Orlando, FL
- NPI 1235327412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1992348171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "407-876-2273",
"fax_number": "407-347-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 LAKESIDE VILLAGE LN",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347867024",
"telephone_number": "407-876-2273"
}
],
"practiceLocations": [
{
"address_1": "11600 Lakeside Village Ln",
"address_purpose": "LOCATION",
"city": "Windermere",
"state": "FL",
"postal_code": "347867024",
"country_code": "US",
"telephone_number": "407-876-2273",
"fax_number": "407-347-3950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEARSALL",
"first_name": "MORGAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9112739",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE",
"identifier": "PENDING",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE NUMBER",
"identifier": "9112739",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpearsall@windermeremedicalcenter.com",
"affiliation": "N",
"endpointDescription": "provider email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "11600 Lakeside Village Ln",
"city": "Windermere",
"state": "FL",
"country_code": "US",
"postal_code": "347867024",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Windermere, FL
- Binita S Patel, DMD
- Kangana Dharmendra Patel, PHARMD
- Niral Patel, MD
- Priya Patel
- Sonal Patel, BSC (HONS)
- Pediatric Dentistry and Orthodontics of Windermere, LLC (Windermere Pediatric Dentistry and Orthodontics)
- Melissa Pedrazzani, PA
- Jennifer Pelz
- Ana Carolina Pereira Fonseca Guedes
- Katia Pereira Salomao, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.