Individual provider Active NPI

Marla J Moseley, CRNA

  • Certified Registered Nurse Anesthetist
  • Punta Gorda, FL
National Provider Identifier
1013907211
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP2600532 Issued in FL
Practice address
25188 Marion Ave
Villa 21
Punta Gorda, FL 33950-4103
Phone
(941) 575-2918
Fax
(941) 575-2918
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP2600532 FL Primary

Addresses

Primary practice location

25188 Marion Ave
Villa 21
Punta Gorda, FL 33950-4103

Mailing address

25188 Marion Ave
Villa 21
Punta Gorda, FL 33950-4103
Phone (941) 575-2918

Other identifiers 1

IdentifierTypeStateIssuer
G3657YOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Mercy Tyler Hospital Past Accepting new patients
Jennifer Sassi PA Nurse Anesthetist, Certified Registered PastSince Feb 5, 2014 Accepting new patients
Rio Grande Anesthesia & Pain Medicine Consultants, P.a. Past Accepting new patients
Mercy Tyler Health Systems Past Accepting new patients
Alleghany Memorial Hospital Past Accepting new patients
Sarasota Anesthesiologists, PA PastSince Jan 26, 2004 Accepting new patients
Alleghany County Memorial Hospital Inc Past Accepting new patients
Peace River Anesthesiology Associates PA Past Accepting new patients

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1013907211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25188 MARION AVE",
            "address_2": "VILLA 21",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504103",
            "telephone_number": "941-575-2918",
            "fax_number": "941-575-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25188 MARION AVE",
            "address_2": "VILLA 21",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504103",
            "telephone_number": "941-575-2918",
            "fax_number": "941-575-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSELEY",
        "first_name": "MARLA",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2600532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G3657Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.