Samantha Jo Moss, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

115 5TH St SE
Orange City, IA 51041-1906

Phone

(712) 441-2257

NPI assigned

Jun 6, 2022

Last updated

Jun 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orange City Municipal HospitalGroup PAC ID 4688587231, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orange City Area Health System Hospital, Orange City, IA, CCN 161360

Merit-based Incentive Payment System (MIPS)

Final score

76.84 of 100Reported as group

Quality

86.15

Promoting interoperability

100

Improvement activities

40

Cost

36.65

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Orange City Municipal Hospital

  dba Orange City Area Health System

  • Critical Access Hospital
  • Orange City, IA
  • NPI 1700856796
  Medicare reassignment Care Compare group NPD
• Orange City Municipal Hospital

  dba Northwest Surgery

  • Specialist
  • Orange City, IA
  • NPI 1265479323
  Medicare reassignment
• Orange City Municipal Hospital

  dba Prairie Ridge Care Center

  • Skilled Nursing Facility
  • Orange City, IA
  • NPI 1013987007
  NPD
• Orange City Municipal Hospital

  dba Orange City Area Health System

  • Family Medicine Physician
  • Orange City, IA
  • NPI 1962477992

  Physician Assistant

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Orange City Municipal Hospital

  dba Northwest Surgery

  • Specialist
  • Orange City, IA
  • NPI 1265479323

  Hospital

  Care Compare affiliation
• Orange City Municipal Hospital

  dba Orange City Area Health System

  • Critical Access Hospital
  • Orange City, IA
  • NPI 1700856796
  Care Compare affiliation
• Orange City Municipal Hospital

  dba Orange City Area Health System

  • Family Medicine Physician
  • Orange City, IA
  • NPI 1962477992

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1275262495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 5TH ST SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 5TH ST SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411906",
            "telephone_number": "712-441-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moc-Floyd Valley CSD
• Marie B Moeller, M.D.
• Moss Therapy Services PLLC
• Derrick Moss, ATC
• Lizbeth Moss, LISW
• Mark W Muilenburg, M.D.
• Grace Frances Myhrwold
• Beverly Noelck
• Brent Eric Nykamp, M.D.
• Brianna Oetken, LMSW

• Physician Assistant in Orange City, IA
• Providers in Orange City, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.

Verify at the official NPI Registry.