Individual provider Active NPI

Cara Ferguson Moutsos, FNP-C

  • Family Nurse Practitioner
  • Erie, PA
National Provider Identifier
1033786892
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP023824 Issued in PA
Practice address
2021 E 20TH St
Erie, PA 16510-1147
Phone
(814) 616-7730
NPI assigned
Jun 9, 2021
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP023824 PA Primary

Addresses

Primary practice location

2021 E 20TH St
Erie, PA 16510-1147

Mailing address

2021 E 20TH St
Erie, PA 16510-1147
Phone (814) 616-7730

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
I20210625002625 PA Practitioner - Nurse Practitioner 6002217163 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multi-Cultural Health Evaluation Delivery Systems Inc CurrentSince Jun 21, 2021 Accepting new patients

Locations

2021 E 20th St
Erie, PA 16510
Phone (814) 453-6229

2928 Peach St
Erie, PA 16508
Phone (814) 452-6229

Interoperability endpoints

  • Direct secure messaging: cara.moutsos@mheds.eclinicaldirectplus.com

Organizations & group practices 1

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1033786892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E 20TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165101147",
            "telephone_number": "814-616-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E 20TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165101147",
            "telephone_number": "814-616-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUTSOS",
        "first_name": "CARA",
        "middle_name": "FERGUSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.