Individual provider Active NPI

Karen Lynn Moskal

  • Family Nurse Practitioner
  • Safford, AZ
National Provider Identifier
1053899062
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11461 Issued in AZ
Practice address
2016 W 16TH St
Safford, AZ 85546-4026
Phone
(428) 150-0928
NPI assigned
Aug 1, 2018
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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 AP11461 AZ Primary

Addresses

Primary practice location

2016 W 16TH St
Safford, AZ 85546-4026

Mailing address

2016 W 16TH St
Safford, AZ 85546-4026
Phone (428) 150-0928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180914002183 AZ Practitioner - Nurse Practitioner 8325399231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Cochise Community Hospital IncGroup PAC ID 4981514288, 6 clinicians

Practice addresses (Care Compare)

901 W Rex Allen Dr
Willcox, AZ 85643-1009
Phone (520) 384-3541

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11461AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Cochise Community Hospital Inc Current Accepting new patients

Locations

900 W Scott St
Willcox, AZ 85643
Phone (520) 384-4421

901 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 384-3541

Interoperability endpoints

  • Direct secure messaging: kmoskal@ncch.ssdirect.aprima.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.

Hospital & facility affiliations 3

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1053899062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 W 16TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464026",
            "telephone_number": "428-150-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 W 16TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464026",
            "telephone_number": "428-150-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKAL",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

Verify at the official NPI Registry.