Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Morgan Fonville, APRN

Individual provider Nurse Practitioner · NPI 1497413421

Morgan Fonville, APRN is a Nurse Practitioner in Bradenton, Florida. Qualified in 2021, 5 years ago. Practices with Intercoastal Medical Group Inc, a 177-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

11715 Rangeland Pkwy
Bradenton, FL 34211-9529
Phone: (941) 538-0001
Fax: (941) 538-0002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11016879 (FL)

Record details

NPI number1497413421
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedDecember 7, 2021
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address11715 Rangeland Pkwy, Bradenton, FL 34211-9529

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Intercoastal Medical Group Inc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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