Individual provider Active NPI

George J Moussally, MSN,ACNP-BC,CCRN

  • Acute Care Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1013261973
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95001181 Issued in CA
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

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, MI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170519002408 IN Practitioner - Nurse Practitioner 6507010600 Reassigns benefits to 5 organizations
I20220420001167 OH Practitioner - Nurse Practitioner 6507010600 Reassigns benefits to 3 organizations
I20250908001803 MI Practitioner - Nurse Practitioner 6507010600 Reassigns benefits to 1 organization

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
Sound Inpatient Physicians-Michigan PLLCGroup PAC ID 5395896849, 168 clinicians
Hospital Care Group PCGroup PAC ID 7416107487, 29 clinicians

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 Hospital, Dowagiac, MI, CCN 231315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95001181CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Richland County, LTD CurrentSince May 14, 2024 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC CurrentSince Dec 15, 2019 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince May 31, 2025 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation CurrentSince May 14, 2024 Accepting new patients
Michael S. Miller DO, Facos, CWS, PC CurrentSince May 12, 2017 Accepting new patients
Hospitalist Physicians of Indiana, PC CurrentSince Dec 12, 2023 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC CurrentSince May 31, 2025 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Dec 15, 2019 Accepting new patients
Hospital Care Group, P.C. CurrentSince Dec 1, 2017 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Dec 15, 2019 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.