Individual provider Active NPI

Eric Christopher Moss, PA

  • Physician Assistant
  • Nampa, ID
National Provider Identifier
1013317296
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-1356 Issued in ID
Practice address
4424 E Flamingo Ave Ste 110
Nampa, ID 83687-9291
Phone
(208) 302-3200
Fax
(208) 302-3255
NPI assigned
Aug 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-1356 ID Primary
Physician Assistant 363A00000X PA226462 OR
Surgical Physician Assistant 363AS0400X PA-1356 ID

Addresses

Primary practice location

4424 E Flamingo Ave Ste 110
Nampa, ID 83687-9291

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

351 SW 9th St
Ontario, OR 97914-2639
Phone (541) 881-7184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160229002935 ID Practitioner - Physician Assistant 0547481897 Reassigns benefits to 5 organizations
I20251024002590 OR Practitioner - Physician Assistant 0547481897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Regional Medical Center IncGroup PAC ID 3476462359, 672 clinicians
Saint Alphonsus Medical Center- Ontario IncGroup PAC ID 1456488899, 42 clinicians

Practice addresses (Care Compare)

3025 W Cherry LN
Meridian, ID 83642-8531

351 SW 9TH St
Ontario, OR 97914-2639
Phone (541) 881-7000

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000

4424 E Flamingo Ave
Nampa, ID 83687-9291
Phone (208) 302-3200

712 Aviation Way
Caldwell, ID 83605-1154
Phone (208) 302-1035

Hospital & facility affiliations

  • Saint Alphonsus Medical Center - Nampa Hospital, Nampa, ID, CCN 130013
  • Saint Alphonsus Medical Center Ontario Hospital, Ontario, OR, CCN 380052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA226462ORMDPhysician Assistant
PA-1356IDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Sep 1, 2025 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Sep 1, 2025 Accepting new patients
Direct Orthopedic Care LLC CurrentSince Feb 11, 2017 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Sep 1, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Sep 1, 2025 Accepting new patients
Allied Orthopaedics LLC Surgical CurrentSince Apr 1, 2016 Accepting new patients
Richard Lochhead MD PLLC PastSince Jul 1, 2015 Accepting new patients
Olympia Orthopaedic Associates PLLC Past Accepting new patients

Locations

7979 W Rifleman St
Ste 110
Boise, ID 83704
Phone (208) 321-4000

7979 W Rifleman St
Ste 100
Boise, ID 83704
Phone (208) 375-6133

1906 Fairview Ave
Ste 400
Caldwell, ID 83605
Phone (208) 287-6627

712 Aviation Way
Caldwell, ID 83605
Phone (208) 302-7100

910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000

3015 E Magic View Dr
Ste 130
Meridian, ID 83642
Phone (208) 482-5567

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

875 S Vanguard Way
Ste 200
Meridian, ID 83642
Phone (208) 298-9949

4424 E Flamingo Ave
Ste 110
Nampa, ID 83687
Phone (208) 288-4700

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000

1050 SW 3rd Ave
Ste 1600
Ontario, OR 97914
Phone (541) 881-2360

Interoperability endpoints

  • Direct secure messaging: emoss4556154@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4

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 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": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1013317296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 E FLAMINGO AVE STE 110",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879291",
            "telephone_number": "208-302-3200",
            "fax_number": "208-302-3255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 SW 9th St",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OR",
            "postal_code": "979142639",
            "country_code": "US",
            "telephone_number": "541-881-7184",
            "fax_number": "541-881-7016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "ERIC",
        "middle_name": "CHRISTOPHER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-25",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1356",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA226462",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ID",
            "license": "PA-1356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.