Individual provider Active NPI

Moensania Carisa Phillips, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1003300757
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020247 Issued in CA
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

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX12 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
I20190930001524 GA Practitioner - Nurse Practitioner 2769712025 Reassigns benefits to 13 organizations
I20250218000839 CT Practitioner - Nurse Practitioner 2769712025 Reassigns benefits to 3 organizations
I20250416001187 CO Practitioner - Nurse Practitioner 2769712025 Reassigns benefits to 1 organization
I20251216000554 RI Practitioner - Nurse Practitioner 2769712025 Reassigns benefits to 1 organization
I20251216000853 MI Practitioner - Nurse Practitioner 2769712025 Reassigns benefits to 1 organization
I20251218001944 NY Practitioner - Nurse Practitioner 2769712025 Reassigns benefits to 1 organization
I20251222002960 VT Practitioner - Nurse Practitioner 2769712025 Reassigns benefits to 1 organization
I20251225000005 OR Practitioner - Nurse Practitioner 2769712025 Reassigns benefits to 1 organization
I20260112000020 MD Practitioner - Nurse Practitioner 2769712025 Reassigns benefits to 1 organization
I20260120003816 KS Practitioner - Nurse Practitioner 2769712025 Reassigns benefits to 1 organization
I20260526002452 NV Practitioner - Nurse Practitioner 2769712025
I20260603000815 TX Practitioner - Nurse Practitioner 2769712025 Reassigns benefits to 1 organization

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
Ez Health Medical Group PAGroup PAC ID 7214469816, 34 clinicians

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 100Reported as group
Quality
25
Improvement activities
40
Cost
67.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95020247CAMDFamily Nurse Practitioner
12233CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartley Health and Wellness Associates, LLC CurrentSince Aug 3, 2019 Accepting new patients
The William W Backus Hospital CurrentSince Jan 1, 2026 Accepting new patients
VMD Primary Providers Colorado, Inc Family Medicine CurrentSince May 1, 2025 Accepting new patients
Neighborhood Health, Inc. Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Fast Doc LLC Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Ez Health Medical Group PA Family Medicine CurrentSince Oct 10, 2025 Accepting new patients
Onmed Professional Services PA CurrentSince Apr 25, 2026 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 15, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Dec 15, 2024 Accepting new patients
Ez Health Medical Group Midwest PA Family Medicine CurrentSince Nov 15, 2025 Accepting new patients
William W Backus Hospital CurrentSince Jan 1, 2026 Accepting new patients
Brooklyn Family Medicine Practice PC Family Medicine CurrentSince Oct 11, 2025 Accepting new patients
Fast Lab Technologies LLC PastSince Dec 1, 2024 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

  • Direct secure messaging: moensania.phillips.1@14883.direct.athenahealth.com
  • Direct secure messaging: moensania.phillips.1@30885.direct.athenahealth.com
  • Direct secure messaging: moensania.phillips.1@17222.direct.athenahealth.com
  • Direct secure messaging: moensania.phillips@337577483108356.direct.elationemr.com
  • FHIR API: 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.

View all 24

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

Verify at the official NPI Registry.