Individual provider Active NPI

Kaitlyn Merlot Moseley, MD

  • Family Medicine Physician
  • Amarillo, TX
National Provider Identifier
1255074209
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U9036 Issued in TX
Practice address
1600 Wallace Blvd
Amarillo, TX 79106-1789
Phone
(806) 212-2000
NPI assigned
Apr 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U9036 TX Primary

Addresses

Primary practice location

1600 Wallace Blvd
Amarillo, TX 79106-1789

Mailing address

1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-1135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103001183 TX Practitioner - Hospitalist 7214318062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Texas Tech University Health Science Center School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bsa Physicians Group IncGroup PAC ID 3971748146, 121 clinicians

Practice addresses (Care Compare)

1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-2129

Hospital & facility affiliations

  • Accentcare Health Home health agency, Amarillo, TX, CCN 457754
  • Bsa Compassion Home Care Home health agency, Amarillo, TX, CCN 677943
  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231
  • Golden Plains Community Hospital Hospital, Borger, TX, CCN 451369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bsa Physicians Group Inc CurrentSince Jun 30, 2025 Accepting new patients
Ess of South Texas LLC CurrentSince Nov 17, 2024 Accepting new patients
Bsa Physicians Group Inc Family Medicine CurrentSince Jun 30, 2025 Accepting new patients
Bsa Hospital LLC Past Accepting new patients
Texas Tech University Health Sciences Center Amarillo Family Medicine PastSince Apr 1, 2022 Accepting new patients

Locations

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

1751 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

Interoperability endpoints

  • Direct secure messaging: kmoseley371138@ahs.direct-ci.com

Organizations & group practices 5

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 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": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1255074209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061799",
            "telephone_number": "806-212-1135",
            "fax_number": "806-212-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061789",
            "telephone_number": "806-212-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSELEY",
        "first_name": "KAITLYN",
        "middle_name": "MERLOT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U9036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.