Individual provider Active NPI

Jessica Lee Moss, FNP, RN

  • Nurse Practitioner
  • Reno, PA
National Provider Identifier
1013618776
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP027082 Issued in PA
Practice address
813 Oak St
Reno, PA 16343-1039
Phone
(814) 516-3286
NPI assigned
Mar 10, 2023
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP027082 PA Primary

Addresses

Primary practice location

813 Oak St
Reno, PA 16343-1039

Mailing address

PO Box 104
Reno, PA 16343-0104
Phone (814) 516-3286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240610003758 PA Practitioner - Nurse Practitioner 6800338427 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
Group practices
Onsight Health Care, LLCGroup PAC ID 0840338059, 32 clinicians

Practice addresses (Care Compare)

2595 Interstate Dr
Suite 103
Harrisburg, PA 17110-9378
Phone 50224424205415

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027082PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onsight Health Care LLC Nurse Practitioner CurrentSince Apr 29, 2024 Accepting new patients
Onsight Health Care LLC Current Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

2595 Interstate Dr
Ste 103
Harrisburg, PA 17110
Phone (386) 672-4222

303 Smallacombe Dr
Scranton, PA 18508
Phone (412) 508-8708

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1013618776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104",
            "city": "RENO",
            "state": "PA",
            "postal_code": "163430104",
            "telephone_number": "814-516-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 OAK ST",
            "city": "RENO",
            "state": "PA",
            "postal_code": "163431039",
            "telephone_number": "814-516-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "FNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP027082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, PA

Sources for this page

Verify at the official NPI Registry.