Individual provider Active NPI

Sasha Mosset, CNP

  • Family Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1245059682
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP003395 Issued in SD
Practice address
3006 Tower Rd
Rapid City, SD 57701-5392
Phone
(605) 343-7295
NPI assigned
Oct 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CP003395 SD Primary

Addresses

Primary practice location

3006 Tower Rd
Rapid City, SD 57701-5392

Mailing address

3006 Tower Rd
Rapid City, SD 57701-5392
Phone (605) 343-7295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20250107001455 SD Practitioner - Nurse Practitioner 0446788210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Rushmore OB-GYN PCGroup PAC ID 7517871213, 7 clinicians

Practice addresses (Care Compare)

3006 Tower Rd
Rapid City, SD 57701-5392
Phone (605) 343-7295

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rushmore OB-GYN PC CurrentSince Dec 2, 2024 Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

3006 Tower Rd
Rapid City, SD 57701
Phone (605) 343-7295

3006 Tower Rd
Ste 200
Rapid City, SD 57701

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.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1245059682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 TOWER RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015392",
            "telephone_number": "605-343-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 TOWER RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015392",
            "telephone_number": "605-343-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSET",
        "first_name": "SASHA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP003395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.