MRS. MARY JO MOREY FNP-BC NPI 1972500874

NPI Information

  • NPI: 1972500874
  • Provider Name: MRS. MARY JO MOREY, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17501 GENERATIONS DR
    SOUTH BEND, IN
    ZIP 46635
  • Phone: (574) 234-0049

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NPI Details

MRS. Mary Jo Morey, FNP-BC is a family nurse practitioner in South Bend, IN with 23 years of experience. MRS. Mary Jo Morey, FNP-BC NPI is 1972500874. 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:

17501 GENERATIONS DR
SOUTH BEND, IN
ZIP 46635-589
Phone: (574) 234-0049
Fax: (574) 234-0053

The NPI 1972500874 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, vedolizumab, 1 mg (HCPCS:J3380)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Measurement of liver stiffness (HCPCS:91200)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)

The enumeration date for this NPI number is 7/7/2005 and was last updated on 7/21/2022.

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
1363LF0000XNurse PractitionerFamily71001590AINDIANAYes

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
1200491240MEDICAIDINDIANA
2P01373877OTHERINDIANARR MEDICARE
300000849526OTHERINDIANABCBS BMG ADVANCED CARDIO SPECIALIST
4200491240AMEDICAIDINDIANA

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: 3/30/2025

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