Active NPI
Miranda Elizabeth Moss, APRN, FNP-C
- Nurse Practitioner
- Bluffton, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 23205
- Practice address
- 1 Burnt Church Rd Ste a
Bluffton, SC 29910-6405 - Phone
- (843) 706-2185
- Fax
- (843) 299-5693
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 23205 | SC | Primary |
Addresses
Primary practice location
1 Burnt Church Rd Ste a
Bluffton, SC 29910-6405
Mailing address
PO Box 23321
New York, NY 10087-3321
Phone (843) 792-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP6357 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.musc.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191210000902 | SC | Practitioner - Nurse Practitioner | 1557794369 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Past | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351
300 Midtown Dr
Beaufort, SC 29906
Phone (843) 379-7746
955 Ribaut Rd
#C
Beaufort, SC 29902
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
1 Burnt Church Rd
#A
Bluffton, SC 29910
Phone (843) 706-2185
1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600
1000 Pine St W
Varnville, SC 29944
Phone (803) 943-5228
Interoperability endpoints
- miranda.moss.1@15816.direct.athenahealth.com
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1063596443
-
- Specialist
- Beaufort, SC
- NPI 1346474996
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
- Obstetrics & Gynecology Physician
- Beaufort, SC
- NPI 1235552746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1326697442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23321",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100873321",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BURNT CHURCH RD STE A",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299106405",
"telephone_number": "843-706-2185",
"fax_number": "843-299-5693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "MIRANDA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "23205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP6357",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.musc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1 Burnt Church Rd Ste A",
"city": "Bluffton",
"state": "SC",
"country_code": "US",
"postal_code": "299106405",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.