Individual provider Active NPI

Josie Moosman, DNP

  • Family Nurse Practitioner
  • Bicknell, UT
National Provider Identifier
1003657974
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8284539-4405 Issued in UT
Practice address
128 S 300 W
Bicknell, UT 84715-7722
Phone
(435) 425-1130
Fax
(435) 425-1137
NPI assigned
Jun 4, 2024
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8284539-4405 UT Primary
Registered Nurse 163W00000X 8284539-3102 UT

Addresses

Primary practice location

128 S 300 W
Bicknell, UT 84715-7722

Mailing address

128 S 300 W
Bicknell, UT 84715-7722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250624000773 UT Practitioner - Nurse Practitioner 4587176730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Utah School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

128 S 300
Bicknell, UT 84715-7722
Phone (435) 425-3744

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8284539-3102UTMDRegistered Nurse
8284539-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Community Health Centers Inc Current Accepting new patients
Wayne Community Health Centers Inc CurrentSince Jun 1, 2025 Accepting new patients
Wayne Community Health Centers, Inc CurrentSince Jun 1, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDFCAD

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1003657974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S 300 W",
            "city": "BICKNELL",
            "state": "UT",
            "postal_code": "847157722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S 300 W",
            "city": "BICKNELL",
            "state": "UT",
            "postal_code": "847157722",
            "telephone_number": "435-425-1130",
            "fax_number": "435-425-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSMAN",
        "first_name": "JOSIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-06-03",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8284539-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "8284539-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bicknell, UT

Sources for this page

Verify at the official NPI Registry.