Individual provider Active NPI

Taylor Marie Moresea, PA-C

  • Physician Assistant
  • Alliance, OH
National Provider Identifier
1295311389
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007221RX Issued in OH
Practice address
22856 Smith Northwest Rd
Alliance, OH 44601-8927
Phone
(570) 730-0242
NPI assigned
Mar 20, 2021
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007221RX OH Primary

Addresses

Primary practice location

22856 Smith Northwest Rd
Alliance, OH 44601-8927

Mailing address

22856 Smith Northwest Rd
Alliance, OH 44601-8927
Phone (570) 730-0242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20211022002194 OH Practitioner - Physician Assistant 3274921333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.75 of 100Reported as group
Quality
97.99
Promoting interoperability
99
Improvement activities
40
Cost
74.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.007221RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurocare Center Inc CurrentSince Sep 27, 2021 Accepting new patients

Locations

4048 Dressler Rd NW
Ste 100
Canton, OH 44718
Phone (330) 479-3333

830 S Main St
Ste 4
Orrville, OH 44667

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1295311389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22856 SMITH NORTHWEST RD",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446018927",
            "telephone_number": "570-730-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22856 SMITH NORTHWEST RD",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446018927",
            "telephone_number": "570-730-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORESEA",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007221RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.