Individual provider Active NPI

Deborah Rose Moss-Gail, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1184947947
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP010535 Issued in PA
Practice address
2300 W Master St
Philadelphia, PA 19121-4996
Phone
(215) 707-0499
Fax
(215) 707-0480
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN574461 PA
Family Nurse Practitioner 363LF0000X SP010535 PA Primary

Addresses

Primary practice location

2300 W Master St
Philadelphia, PA 19121-4996

Mailing address

2300 W Master St
Philadelphia, PA 19121-4996
Phone (215) 707-0499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20220308002637 MA Practitioner - Nurse Practitioner 1254523251 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN574461PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nantucket Physicians Organization CurrentSince Feb 18, 2022 Accepting new patients
Nantucket Cottage Hospital CurrentSince Feb 18, 2022 Accepting new patients
Nantucket Cottage Hospital CurrentSince Feb 18, 2022 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients
House Call Group, PC PastSince Nov 30, 2016 Accepting new patients

Locations

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1184947947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W MASTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214996",
            "telephone_number": "215-707-0499",
            "fax_number": "215-707-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W MASTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191214996",
            "telephone_number": "215-707-0499",
            "fax_number": "215-707-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS-GAIL",
        "first_name": "DEBORAH",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN574461",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.