Active NPI
Moensania Carisa Phillips, NURSE PRACTITIONER
- Family Nurse Practitioner
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95020247
- Practice address
- 2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111-3823 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- Jun 17, 2018
- Reactivated
- Jul 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 32635 | OH | |
| Family Nurse Practitioner | 363LF0000X | 12233 | CT | |
| Family Nurse Practitioner | 363LF0000X | RN260210 | GA | |
| Family Nurse Practitioner | 363LF0000X | 95020247 | CA | Primary |
Addresses
Primary practice location
2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111-3823
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
Other practice location 1
1094 Killingly Commons Dr
Dayville, CT 06241-2187
Phone (727) 601-4513
Other practice location 2
865 N Highland Ave NE
Atlanta, GA 30306-4565
Phone (404) 733-6089
Other practice location 3
4004 Evans Road
Atlanta, GA 30340
Phone (706) 570-9103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CT, CO, RI, MI, NY, VT, OR, MD, KS, NV, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 12
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
135 N Old Woodward Ave
Suite 200
Birmingham, MI 48009-3341
Phone (385) 327-2541
300 Interstate Corporate Ctr
Williston, VT 05495-7626
Phone (385) 327-2541
333 George Washington Hwy
Suite a
Smithfield, RI 02917-1948
Phone (385) 327-2541
40 York Rd
Suite 110
Towson, MD 21204-5243
Phone (385) 327-2541
4300 Paces Ferry Rd SE
Suite 500
Atlanta, GA 30339-5714
Phone (385) 327-2541
966 12TH St SE
Suite 140
Salem, OR 97302-2860
Phone (385) 327-2541
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.19 of 100
- Quality
- 25
- Improvement activities
- 40
- Cost
- 67.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95020247 | CA | MD | Family Nurse Practitioner |
| 12233 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartley Health and Wellness Associates, LLC | Current | Accepting new patients | |
| The William W Backus Hospital | Current | Accepting new patients | |
| VMD Primary Providers Colorado, Inc | Family Medicine | Current | Accepting new patients |
| Neighborhood Health, Inc. | Family Medicine | Current | Accepting new patients |
| Fast Doc LLC | Family Medicine | Current | Accepting new patients |
| Ez Health Medical Group PA | Family Medicine | Current | Accepting new patients |
| Onmed Professional Services PA | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Ez Health Medical Group Midwest PA | Family Medicine | Current | Accepting new patients |
| William W Backus Hospital | Current | Accepting new patients | |
| Brooklyn Family Medicine Practice PC | Family Medicine | Current | Accepting new patients |
| Fast Lab Technologies LLC | Past | Accepting new patients | |
| The William W Backus Hospital | Family Medicine | Past | Accepting new patients |
| Mid America Senior Management LLC | Past | Accepting new patients |
Locations
2025 Bighorn Rd
Fort Collins, CO 80525
Phone (970) 229-9800
3519 Richmond Dr
Fort Collins, CO 80526
Phone (970) 204-0300
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
1094 Killingly Commons Dr
Dayville, CT 06241
Phone (727) 601-4513
331 Wethersfield Ave
Hartford, CT 06114
Phone (860) 236-4511
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
1801 NE 123rd St
Ste 314
North Miami, FL 33181
Phone (239) 380-8220
2000 Village Professional Dr
Ste 110
Canton, GA 30114
Phone (678) 880-6698
307 Ridge St
Ste 107
Tonganoxie, KS 66086
Phone (913) 742-4084
40 York Rd
Ste 110
Towson, MD 21204
Phone (410) 296-0680
135 N Old Woodward Ave
Ste 200
Birmingham, MI 48009
Phone (707) 815-0374
1155 E 9th St
Bldg E
Reno, NV 89512
Phone (866) 567-4565
215 Water St
Brooklyn, NY 11201
Phone (917) 503-9404
245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399
966 12th St SE
Ste 140
Salem, OR 97302
333 George Washington Hwy
Ste A
Smithfield, RI 02917
512 N Jefferson Ave
Cameron, TX 76520
Phone (813) 543-4051
3205 W 2nd Ave
Corsicana, TX 75110
Phone (813) 543-4051
300 Interstate Corporate Ctr
Williston, VT 05495
Phone (781) 328-0505
Interoperability endpoints
- moensania.phillips.1@14883.direct.athenahealth.com
- moensania.phillips.1@30885.direct.athenahealth.com
- moensania.phillips.1@17222.direct.athenahealth.com
- moensania.phillips@337577483108356.direct.elationemr.com
- https://api.platform.athenahealth.com/19654/brand/1/csg/1/fhir/r4
Organizations & group practices 24
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Tonganoxie, KS
- NPI 1356227417
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Nursing Care Agency
- Canton, GA
- NPI 1033514302
-
dba HHC Neighborhood Health
- General Practice Physician
- Torrington, CT
- NPI 1043544489
Family Medicine
-
- General Practice Physician
- Cameron, TX
- NPI 1023746674
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- Primary Care Clinic/Center
- Fort Collins, CO
- NPI 1275646614
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1003300757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 EMBARCADERO CTR LBBY LEVEL",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113823",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "1094 Killingly Commons Dr",
"address_purpose": "LOCATION",
"city": "Dayville",
"state": "CT",
"postal_code": "062412187",
"country_code": "US",
"telephone_number": "727-601-4513",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "865 N Highland Ave NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303064565",
"country_code": "US",
"telephone_number": "404-733-6089",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4004 Evans Road",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "30340",
"country_code": "US",
"telephone_number": "706-570-9103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "MOENSANIA",
"middle_name": "CARISA",
"name_prefix": "Ms.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-17",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"deactivation_date": "2019-07-12",
"reactivation_date": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "32635",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "12233",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN260210",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95020247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.