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MORNINGSTAR MEDICAL GROUP
NPI 1124865571
Nurse Practitioner in Port Charlotte, FL

Active since July 12, 2024CLIA 10D2326657 · Waiver
1435 COLLINGSWOOD BLVD UNIT B, PORT CHARLOTTE, FL 33948(941) 280-1020(941) 216-6935 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 18, 2025, Nov 14, 2024, Jul 12, 2024 (3 updates tracked since 2024).

About Morningstar Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MORNINGSTAR MEDICAL GROUP (NPI 1124865571) is a healthcare organization registered as a nurse practitioner in Port Charlotte, Florida and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists Brandy Hauser, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1124865571
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMORNINGSTAR MEDICAL GROUP
Location Address1435 COLLINGSWOOD BLVD UNIT BPort Charlotte, FL 33948-1148
Mailing Address1435 Collingswood Blvd Unit BPort Charlotte, FL 33948-1148 · (941) 223-2695
Phone(941) 280-1020
Fax(941) 216-6935
Organization SubpartNo
Authorized OfficialBrandy HauserOwner/ceo · (941) 223-2695
Enumeration DateJuly 12, 2024
Last NPPES UpdateJune 18, 20253 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1124865571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1435 COLLINGSWOOD BLVD UNIT B, Port Charlotte, FL 33948
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Morningstar Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Morningstar Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Victoria Dandino
Nurse Practitioner
NPI 1831825728
1435 COLLINGSWOOD BLVD UNIT B
Port Charlotte, FL 33948
(941) 280-1020
✔ PECOSSame address
Brandy Hauser, APRN
Nurse Practitioner
NPI 1558023028
262 HALLORAN ST
Port Charlotte, FL 33953
(941) 223-2695
✔ PECOS✔ Accepts Medicare5.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2326657

Morningstar Medical Group LLC · Port Charlotte, FL
Active · expires Jul 7, 2027
CLIA Number10D2326657
Laboratory TypePractitioner Other
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorVictoria D. Dandino
Laboratory Phone(941) 280-1020
Laboratory LocationMorningstar Medical Group LLC1435 Collingswood Blvd, Suite B, Port Charlotte, FL 33948
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Morningstar Medical Group's NPI number?

The NPI number for Morningstar Medical Group is 1124865571. It was assigned to this organization in the NPPES registry on July 12, 2024.

Where is Morningstar Medical Group located?

Morningstar Medical Group is located at 1435 Collingswood Blvd Unit B, Port Charlotte, FL 33948. The listed phone number is (941) 280-1020.

What is Morningstar Medical Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Morningstar Medical Group enrolled in Medicare?

Yes. Morningstar Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Morningstar Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Morningstar Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Morningstar Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2326657) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Morningstar Medical Group was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.