Individual provider Active NPI

Danielle Marie Moss, APRN, CNP

  • Family Nurse Practitioner
  • Hinton, OK
National Provider Identifier
1073079141
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
83100 Issued in OK
Practice address
112 E Luellen Rd
Hinton, OK 73047-9524
Phone
(405) 542-2278
NPI assigned
Feb 13, 2019
Last updated
Mar 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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 83100 OK Primary

Addresses

Primary practice location

112 E Luellen Rd
Hinton, OK 73047-9524

Mailing address

112 E Luellen Rd
Hinton, OK 73047-9524
Phone (405) 542-2278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20190423001998 OK Practitioner - Nurse Practitioner 8123360146 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
The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians

Practice addresses (Care Compare)

10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300

112 E Luellen Rd
Hinton, OK 73047-9524
Phone (833) 274-4174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83100OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Physicians Group LLC CurrentSince Feb 27, 2019 Accepting new patients

Locations

112 E Luellen Rd
Hinton, OK 73047
Phone (405) 542-2278

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

Interoperability endpoints

  • Direct secure messaging: daniellemoss@okss.allscriptsdirect.net
  • Direct secure messaging: dmoss534988@direct.integrisok.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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1073079141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E LUELLEN RD",
            "city": "HINTON",
            "state": "OK",
            "postal_code": "730479524",
            "telephone_number": "405-542-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E LUELLEN RD",
            "city": "HINTON",
            "state": "OK",
            "postal_code": "730479524",
            "telephone_number": "405-542-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "83100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinton, OK

Sources for this page

Verify at the official NPI Registry.