Active NPI
Samantha Moss, NP
- Critical Care Medicine Nurse Practitioner
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Nurse Practitioner
- License
- 5008164
- Practice address
- 749 9TH St
Apt 336
Durham, NC 27705-4891 - Phone
- (631) 680-7907
- NPI assigned
- Dec 24, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 5008164 | NC | Primary |
Addresses
Primary practice location
749 9TH St
Apt 336
Durham, NC 27705-4891
Mailing address
3400 Wake Forest Rd
Raleigh, NC 27609-7317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Anesthesia Medical Group | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients |
Locations
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000
3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1528137296
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450915200000",
"number": "1033574645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 WAKE FOREST RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 9TH ST",
"address_2": "APT 336",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054891",
"telephone_number": "631-680-7907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "SAMANTHA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-24",
"last_updated": "2015-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "NC",
"license": "5008164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2015; 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.