MARILYN KAY MORGAN N.P. NPI 1669422283

NPI Information

NPI: 1669422283
Provider Name: MARILYN KAY MORGAN, N.P.
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
3650 N ALPINE RD
ROCKFORD, IL
ZIP 61114
Phone: (815) 877-7408
Get Directions

Marilyn Kay Morgan, N.P. is a gerontology nurse practitioner in Rockford, IL. Marilyn Kay Morgan, N.P. NPI is 1669422283. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3650 N ALPINE RD
ROCKFORD, IL
ZIP 61114-806
Phone: (815) 877-7408

The NPI 1669422283 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 6/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		041322787	ILLINOIS	No
2	363L00000X	Nurse Practitioner		2002026665	MISSOURI	No
3	363L00000X	Nurse Practitioner		4704145479	MICHIGAN	No
4	363LG0600X	Nurse Practitioner	Gerontology	041322787	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	104750072	MEDICAID	MICHIGAN
2	427206909	MEDICAID	MISSOURI
3	P00256645	OTHER	ILLINOIS	RAILROAD MEDICARE S IL
4	P00249347	OTHER	MISSOURI	RAILROAD MEDICARE
5	P00250027	OTHER	ILLINOIS	RAILROAD MEDICARE N IL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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