Individual provider Active NPI

Marianne D. Moses, ARNP

  • Family Nurse Practitioner
  • Corning, CA
National Provider Identifier
1225317290
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000297 Issued in CA
Practice address
2126 Solano St
Corning, CA 96021-2713
Phone
(530) 824-4002
NPI assigned
Aug 9, 2011
Last updated
Jun 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN001322 NV
Family Nurse Practitioner 363LF0000X 95000297 CA Primary

Addresses

Primary practice location

2126 Solano St
Corning, CA 96021-2713

Mailing address

2126 Solano St
Corning, CA 96021-2713
Phone (530) 824-4002

Other names 1

  • Mrs. Marianne D. Moses Magee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200918002103 CA Practitioner - Nurse Practitioner 3971778176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ampla HealthGroup PAC ID 5092619270, 105 clinicians

Practice addresses (Care Compare)

2800 Lincoln St
Oroville, CA 95966-5961
Phone (530) 534-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN001322NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Feb 18, 2013 Accepting new patients
Ampla Health CurrentSince Sep 19, 2020 Accepting new patients
Ampla Health CurrentSince Sep 19, 2020 Accepting new patients
Ampla Health Current Accepting new patients
Florida Department of Health PastSince Feb 18, 2013 Accepting new patients
Cooperman Barnabas Medical Center Inc PastSince Nov 2, 2015 Accepting new patients

Locations

680 Cohasset Rd
Chico, CA 95926
Phone (530) 342-4395

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

5449 S Semoran Blvd
Ste 14D
Orlando, FL 32822
Phone (407) 207-7757

6101 Lk Ellenor Dr
Orlando, FL 32809
Phone (407) 723-5029

832 W Central Blvd
Orlando, FL 32805
Phone (407) 836-2619

Interoperability endpoints

  • Direct secure messaging: marianne.moses@ampla.eclinicaldirectplus.com

Organizations & group practices 6

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 5

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": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1225317290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 SOLANO ST",
            "city": "CORNING",
            "state": "CA",
            "postal_code": "960212713",
            "telephone_number": "530-824-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 SOLANO ST",
            "city": "CORNING",
            "state": "CA",
            "postal_code": "960212713",
            "telephone_number": "530-824-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "MARIANNE",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001322",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "MOSES MAGEE",
            "middle_name": "D.",
            "prefix": "MRS.",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corning, CA

Sources for this page

Verify at the official NPI Registry.