Individual provider Active NPI

Elisha Moss, P.A.

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1205801289
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001000295 Issued in NC
Practice address
509 Biltmore Avenue
Asheville, NC 28801
Phone
(828) 213-1995
Fax
(828) 213-1992
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001000295 NC Primary
Physician Assistant 363A00000X PA218014 OR

Addresses

Primary practice location

509 Biltmore Avenue
Asheville, NC 28801

Mailing address

PO Box 15268
Asheville, NC 28813-0268
Phone (828) 250-2833

Other practice location 1

777 NW 9th St Ste 210C
Corvallis, OR 97330-6169
Phone (541) 452-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240207001196 OR Practitioner - Physician Assistant 1355365891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corvallis Radiology PCGroup PAC ID 2062300676, 54 clinicians

Practice addresses (Care Compare)

3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 758-5047

3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 758-5047

505 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 451-6950

525 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 258-2101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
85.3
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001000295NCMDPhysician Assistant
PA218014ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elishamosspa@direct.msj.org

Organizations & group practices 2

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.

Hospital & facility affiliations 67

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1205801289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15268",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288130268",
            "telephone_number": "828-250-2833",
            "fax_number": "828-665-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 BILTMORE AVENUE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28801",
            "telephone_number": "828-213-1995",
            "fax_number": "828-213-1992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 NW 9th St Ste 210C",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973306169",
            "country_code": "US",
            "telephone_number": "541-452-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "ELISHA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001000295",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA218014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.