Active NPI
George J Moussally, MSN,ACNP-BC,CCRN
- Acute Care Nurse Practitioner
- Visalia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95001181
- Practice address
- 400 W Mineral King Ave
Visalia, CA 93291-6237 - Phone
- (559) 624-2000
- NPI assigned
- Oct 30, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95001181 | CA | Primary |
Addresses
Primary practice location
400 W Mineral King Ave
Visalia, CA 93291-6237
Mailing address
PO Box 728
Visalia, CA 93279-0728
Phone (602) 316-5944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-7000
2520 E Dupont Rd
Fort Wayne, IN 46825-1675
Phone (260) 344-4035
7970 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 344-4035
Hospital & facility affiliations
- Ascension Borgess Lee Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95001181 | CA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Richland County, LTD | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Indiana, LLC | Current | Accepting new patients | |
| Sound Inpatient Physicians - Michigan, PLLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Current | Accepting new patients | |
| Michael S. Miller DO, Facos, CWS, PC | Current | Accepting new patients | |
| Hospitalist Physicians of Indiana, PC | Current | Accepting new patients | |
| Sound Inpatient Physicians-Michigan, PLLC | Current | Accepting new patients | |
| Sound Physicians of Indiana, LLC | Current | Accepting new patients | |
| Hospital Care Group, P.C. | Current | Accepting new patients | |
| Sound Physicians of Indiana, LLC | Current | Accepting new patients |
Locations
416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875
3955 W Washington Center Rd
Fort Wayne, IN 46818
Phone (260) 800-3601
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2999
702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000
3850 Shore Dr
Ste 315
Indianapolis, IN 46254
Phone (317) 429-0061
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311
1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1720416555
IN
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
-
- Hospitalist Physician
- Fort Wayne, IN
- NPI 1306576277
-
- Surgery Physician
- Indianapolis, IN
- NPI 1316072242
-
- Hospitalist Physician
- Gary, IN
- NPI 1528311149
-
- Hospitalist Physician
- Escanaba, MI
- NPI 1366768178
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1184063257
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Dowagiac, MI
- NPI 1194771030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1013261973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 728",
"city": "VISALIA",
"state": "CA",
"postal_code": "932790728",
"telephone_number": "602-316-5944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W MINERAL KING AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916237",
"telephone_number": "559-624-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSSALLY",
"first_name": "GEORGE",
"middle_name": "J",
"credential": "MSN,ACNP-BC,CCRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-30",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95001181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.