DONNA MORGAN
NPI 1194144360
Nurse Practitioner in Tucson, AZ

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
1620 W SAINT MARYS RD, TUCSON, AZ 85745(520) 624-7445(520) 623-6145 Get Directions Write a Review

NPPES record last updated: May 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donna Morgan NPPES

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

DONNA MORGAN (NPI 1194144360) is an individual nurse practitioner in Tucson, Arizona, licensed in Arizona (RN083162) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1194144360
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDONNA MORGAN
Location Address1620 W SAINT MARYS RDTucson, AZ 85745-2624
Mailing Address1760 E River Rd, #350Tucson, AZ 85718-5877 · (520) 519-7775 · Fax (520) 519-7910
Fax(520) 623-6145
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 15, 2014
Last NPPES UpdateMay 5, 2017
NPI 1194144360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AZ · RN083162
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.
1620 W SAINT MARYS RD, Tucson, AZ 85745

Other Identifiers 2

Medicare PINZ166225AZ
Medicaid904818AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Donna Morgan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678797065
PECOS Enrollment IDI20140604001253
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
126 services122 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
47 services47 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85745 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
1620 W SAINT MARYS RD
TUCSON, AZ 85745
Internal Medicine (Hematology & Oncology)
1620 W SAINT MARYS RD
TUCSON, AZ 85745
Clinical Medical Laboratory
1620 W SAINT MARYS RD
TUCSON, AZ 85745

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 Donna Morgan's NPI number?

The NPI number for Donna Morgan is 1194144360. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Donna Morgan located?

Donna Morgan practices at 1620 W Saint Marys Rd, Tucson, AZ 85745. The listed phone number is (520) 624-7445.

What is Donna Morgan's specialty?

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

Is Donna Morgan enrolled in Medicare?

Yes. Donna Morgan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Donna Morgan accept?

Health plans from Blue Cross Blue Shield of Arizona list Donna Morgan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donna Morgan was last updated on May 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.