Active NPI
Rebecca C Moss, FNP-C
- Family Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1225452873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11634
- Practice address
- 2925 Chicago Ave
Minneapolis, MN 55407-1321 - Phone
- (612) 863-4000
- NPI assigned
- Feb 18, 2014
- Last updated
- Aug 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0033437 | OH | |
| Family Nurse Practitioner | 363LF0000X | 2014002628 | MO | |
| Family Nurse Practitioner | 363LF0000X | 11634 | MN | Primary |
Addresses
Primary practice location
2925 Chicago Ave
Minneapolis, MN 55407-1321
Mailing address
3126 S Jackson Ave
Ste 101
Joplin, MO 64804-2534
Phone (417) 781-0408
Other practice location 1
3126 S Jackson Ave
Ste 101
Joplin, MO 64804-2534
Phone (417) 781-0408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
43 Mr 10585
Minneapolis, MN 55440-0043
PO Box
Suite 43
Minneapolis, MN 55440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014002628 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Family | Past | Accepting new patients |
Locations
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
3126 S Jackson Ave
Ste 101
Joplin, MO 64804
Phone (417) 781-0408
6151 N Main Street Rd
Webb City, MO 64870
Phone (417) 556-5350
Interoperability endpoints
- rebecca.moss.1@15122.direct.athenahealth.com
- rmoss193332@directb.mercy.net
- rmoss202789@directc.mercy.net
Organizations & group practices 14
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.
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1336823814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1225452873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3126 S JACKSON AVE",
"address_2": "STE 101",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042534",
"telephone_number": "417-781-0408",
"fax_number": "417-627-8738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-863-4000"
}
],
"practiceLocations": [
{
"address_1": "3126 S Jackson Ave",
"address_2": "Ste 101",
"address_purpose": "LOCATION",
"city": "Joplin",
"state": "MO",
"postal_code": "648042534",
"country_code": "US",
"telephone_number": "417-781-0408",
"fax_number": "417-627-8738",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSS",
"first_name": "REBECCA",
"middle_name": "C",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-18",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0033437",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2014002628",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "11634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.