Individual provider Active NPI

Fidelis A Moseri, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1275916611
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN001638 Issued in NV
Practice address
4431 S Eastern Ave Ste 1
Las Vegas, NV 89119-7850
Phone
(702) 823-3003
Fax
(702) 478-8205
NPI assigned
Jul 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN001638 NV Primary

Addresses

Primary practice location

4431 S Eastern Ave Ste 1
Las Vegas, NV 89119-7850

Mailing address

3128 Gnatcatcher Ave
North Las Vegas, NV 89084-2842
Phone (702) 713-9257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20170824002666 NV Practitioner - Nurse Practitioner 5698945202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rutgers School of Dental Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recovery Psychiatric Services, LLCGroup PAC ID 8628303146, 3 clinicians

Practice addresses (Care Compare)

4431 S Eastern Ave
Suite 1
Las Vegas, NV 89119-7850
Phone (702) 823-3003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Psychiatric Services, LLC CurrentSince Mar 1, 2019 Accepting new patients

Locations

4431 S Eastern Ave
Ste 1
Las Vegas, NV 89119
Phone (702) 750-0377

Organizations & group practices 1

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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1275916611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 GNATCATCHER AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842842",
            "telephone_number": "702-713-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 S EASTERN AVE STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197850",
            "telephone_number": "702-823-3003",
            "fax_number": "702-478-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSERI",
        "first_name": "FIDELIS",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN001638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.