Marianne D. Moses, ARNP
Individual provider Active NPI Family Nurse Practitioner · Corning, CA
NPI 1225317290 · NPPES record last updated Jun 24, 2016
Key facts
- NPI
- 1225317290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95000297 (CA)
- Practice address
- 2126 Solano St
Corning, CA 96021-2713 - Phone
- (530) 824-4002
- NPI assigned
- Aug 9, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ampla Health
Practice addresses (Care Compare)
2800 Lincoln St
Oroville, CA 95966-5961
Phone (530) 534-7500
Hospital & facility affiliations
- Valley View Healthcare Services LLC
- Butte Home Health and Hospice
- Oroville Hospital
- Adventist Health Clearlake
- Enloe Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20200918002103 | CA | Practitioner - Nurse Practitioner | 3971778176 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN001322 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ampla Health | Current |
Accepting new patients | |
| Florida Department of Health | Current |
Accepting new patients | |
| Ampla Health | Current |
Accepting new patients | |
| Ampla Health | Current | Accepting new patients | |
| Florida Department of Health | Past |
Accepting new patients | |
| Cooperman Barnabas Medical Center Inc | Past |
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
6101 Lk Ellenor Dr
Orlando, FL 32809
Phone (407) 723-5029
832 W Central Blvd
Orlando, FL 32805
Phone (407) 836-2619
5449 S Semoran Blvd
Ste 14D
Orlando, FL 32822
Phone (407) 207-7757
Interoperability endpoints
- marianne.moses@ampla.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN001322 | NV | |
| Family Nurse Practitioner | 363LF0000X | 95000297 | CA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12273448 | Other | CAQH | |
| 1225317290 | Medicaid | NV |
Other names
- Mrs. Marianne D. Moses Magee
Other providers in Corning, CA
- Connie Marie Massie
- Daniel Joseph McClough
- David Mark Medina
- Leilani Miller
- Susan Destiny Morgan
- Perla Yuritzy Munguia Ramos
- Jacob NG
- Northern Valley Catholic Social Services, Inc.
- Lyndsey Simone Nye
- Edward O'Hara
All providers in Corning, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2016. 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.