MRS. MARY JO MOREY FNP-BC NPI 1972500874

NPI Information

NPI: 1972500874
Provider Name: MRS. MARY JO MOREY, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
17501 GENERATIONS DR
SOUTH BEND, IN
ZIP 46635
Phone: (574) 234-0049
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MRS. Mary Jo Morey, FNP-BC is a family nurse practitioner in South Bend, IN with 22 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 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
1	363LF0000X	Nurse Practitioner	Family	71001590A	INDIANA	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	200491240	MEDICAID	INDIANA
2	P01373877	OTHER	INDIANA	RR MEDICARE
3	00000849526	OTHER	INDIANA	BCBS BMG ADVANCED CARDIO SPECIALIST
4	200491240A	MEDICAID	INDIANA

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: 5/5/2024

NPI Synchronization or Removal

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