Wren Moss, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Knob Noster, MO
NPI 1124846670 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1124846670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2024040072 (MO)
- Practice address
- 600 E Allen St Ste a
Knob Noster, MO 65336-1184 - Phone
- (660) 563-5555
- NPI assigned
- Oct 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Western Missouri Medical Center
Practice addresses (Care Compare)
600 E Allen St
Suite a
Knob Noster, MO 65336-1184
Phone (660) 563-5555
Hospital & facility affiliations
- Western Missouri Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241212002476 | MO | Practitioner - Nurse Practitioner | 3779019864 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024040072 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Missouri Medical Center | Current |
Accepting new patients | |
| Western Missouri Medical Center | Current |
Accepting new patients |
Locations
600 E Allen St
Ste A
Knob Noster, MO 65336
Phone (660) 563-5555
403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2024040072 | MO | Yes |
Addresses
Primary practice location
600 E Allen St Ste a
Knob Noster, MO 65336-1184
Mailing address
11888 Plumb Bob TRL
Higginsville, MO 64037-8316
Phone (660) 605-2323
Other providers in Knob Noster, MO
- Knob Noster Physical Therapy, LLC
- Emma Kolars
- Kylee Kuecker
- Troy Tyler Kyser
- Nichapha Meesema
- Alyssa Lynn Nelsen
- Shelby Lynn Nelson
- Rylie Othic
- Jennifer L Owens
- Alycia Palmer
All providers in Knob Noster, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.