Individual provider Active NPI

Emily Mossman, PA-C

  • Physician Assistant
  • Mansfield, MA
National Provider Identifier
1346026689
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA100030 Issued in MA
Practice address
10 Reservoir St Unit a
Mansfield, MA 02048-3104
Phone
(781) 344-3535
NPI assigned
Sep 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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 PA100030 MA Primary

Addresses

Primary practice location

10 Reservoir St Unit a
Mansfield, MA 02048-3104

Mailing address

1 Kettle Point Ave
East Providence, RI 02914-5375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240326002046 MA Practitioner - Physician Assistant 7315384369 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA100030MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Care Physician Network LLC CurrentSince Feb 3, 2025 Accepting new patients
University Orthopedics, Inc. PastSince Jan 26, 2025 Accepting new patients

Locations

10 Reservoir St
Unit A
Mansfield, MA 02048

15 Roche Brothers Way
Ste 200
North Easton, MA 02356
Phone (401) 490-1939

15 Roche Brothers Way
North Easton, MA 02356
Phone (781) 545-9273

Interoperability endpoints

  • Direct secure messaging: emily.mossman.1@13709.direct.athenahealth.com

Organizations & group practices 3

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": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1346026689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KETTLE POINT AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RESERVOIR ST UNIT A",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020483104",
            "telephone_number": "781-344-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSMAN",
        "first_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA100030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

Verify at the official NPI Registry.