DR. NATHANIEL A MORIN (DO) – Emergency Medicine Physician, NPI 1659639441

DR. NATHANIEL A MORIN (DO) is a healthcare provider. based in Jackson, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 5101020455 (MI). The NPI Number for DR. NATHANIEL A MORIN (DO) is 1659639441

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. NATHANIEL A MORIN (DO)
NPI
1659639441
Phone
(517) 788-4800
Address
205 N EAST AVE
Enumeration Date
30 April 2012
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
3034157000
Graduation Year
2012 (14 years ago)
PAC ID
3779710512
Group Practice PAC ID
4385556414
Professional Enrollment ID
I20170501001583
Address ID
CO803031131BO4747XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

Provider Addresses for DR. NATHANIEL A MORIN (DO)

  • 205 N EAST AVE

    JACKSON, MI 49201

    Phone: (517) 788-4800

    Fax: (517) 817-7050

    Type: Location

  • 1850 22ND ST APT 10

    BOULDER, CO 803025627

    Phone: (042) 940-5109

    Type: Mailing

  • 12505 E. 16TH AVE

    AURORA, CO 80045

    Phone: (720) 848-0000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170501001583IEmergency MedicineCOTBD
I20240728000129IEmergency MedicineNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making2323$0
99285Emergency department visit with high level of medical decision making2323$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1818$0
99283Emergency department visit with low level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385556414View full group profile
NameSpecialtyState
Emergency MedicineWI
-CO
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineCO
Emergency MedicineCO

Reviews

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Frequently asked questions

How do payers reference DR. NATHANIEL A MORIN (DO)?
For DR. NATHANIEL A MORIN (DO), use NPI 1659639441 as the unique 10-digit identifier.
Would DR. NATHANIEL A MORIN (DO) appear as active to a payer?
You can treat DR. NATHANIEL A MORIN (DO) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. NATHANIEL A MORIN (DO)?
DR. NATHANIEL A MORIN (DO) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. NATHANIEL A MORIN (DO)?
Directory geography for DR. NATHANIEL A MORIN (DO) centers on Jackson, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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