MORGAN LU – Nurse Practitioner, NPI 1053004630

MORGAN LU is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold a License No. RN61447768 (WA). The NPI Number for MORGAN LU is 1053004630

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MORGAN LU
NPI
1053004630
Phone
Not provided
Address
111 SW NAITO PKWY STE 200
Enumeration Date
31 May 2023
Last Update Date
31 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032085061
Graduation Year
2023 (3 years ago)
PAC ID
1355795915
Group Practice PAC ID
6901217447
Professional Enrollment ID
I20250909003325
Address ID
OH441223645SH20046RDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:3State licenses:2Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for MORGAN LU

  • 111 SW NAITO PKWY STE 200

    PORTLAND, OR 972043512

    Phone:

    Mailing address matches the actual address.

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: 2025-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20230929003291INurse PractitionerWATBD
I20250903003651INurse PractitionerORTBD
I20250909003325INurse PractitionerOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97204)

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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: 6901217447View full group profile
NameSpecialtyState
Nurse PractitionerNC
Nurse PractitionerOH
Nurse PractitionerCA
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerPA
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the standard ID for MORGAN LU in the U.S.?
In the U.S., MORGAN LU is identified by NPI 1053004630.
Quick check: is MORGAN LU active?
Public NPPES data shows MORGAN LU with an active NPI status right now.
What services align with MORGAN LU's listing?
MORGAN LU's public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MORGAN LU?
The directory associates MORGAN LU with Portland, Oregon. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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