Individual provider Active NPI

Jamie H Moses, APN

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1356684369
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17460 Issued in TN
Practice address
5616 Brainerd Rd
Suite 208
Chattanooga, TN 37411-5310
Phone
(423) 265-3561
Fax
(423) 265-1364
NPI assigned
Mar 28, 2013
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17460 TN Primary

Addresses

Primary practice location

5616 Brainerd Rd
Suite 208
Chattanooga, TN 37411-5310

Mailing address

5616 Brainerd Rd
Suite 208
Chattanooga, TN 37411-5310
Phone (423) 265-3561

Other practice location 1

2358 Lifestyle Way Ste 100
Chattanooga, TN 37421-4907
Phone (423) 602-2750

Other identifiers 1

IdentifierTypeStateIssuer
Q023410MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address moses@direct.vic.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20130528000397 TN Practitioner - Nurse Practitioner 7719125004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 W Schrock Rd
Suite 405
Westerville, OH 43081-8112

5616 Brainerd Rd
Chattanooga, TN 37411-5374

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.4 of 100Reported as group
Quality
88.04
Improvement activities
40
Cost
67.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Institute of Chattanooga, PLLC CurrentSince Aug 13, 2024 Accepting new patients
David M. Huffman, M.D.,P.C. CurrentSince Mar 25, 2013 Accepting new patients

Locations

2158 Northgate Park Ln
Ste 102
Chattanooga, TN 37415
Phone (423) 664-3366

2358 Lifestyle Way
Ste 100
Chattanooga, TN 37421
Phone 4236022750104

5616 Brainerd Rd
Ste 208
Chattanooga, TN 37411
Phone (423) 265-3561

4312 Holiday Inn Express Way NW
Ste 105
Cleveland, TN 37312

7693 Rhea County Hwy
Ste 9
Dayton, TN 37321
Phone (423) 602-2767

980 Highway 28
Ste 101A
Jasper, TN 37347

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jamie.moses.1@18687.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1356684369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 BRAINERD RD",
            "address_2": "SUITE 208",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115310",
            "telephone_number": "423-265-3561",
            "fax_number": "423-265-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 BRAINERD RD",
            "address_2": "SUITE 208",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115310",
            "telephone_number": "423-265-3561",
            "fax_number": "423-265-1364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2358 Lifestyle Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374214907",
            "country_code": "US",
            "telephone_number": "423-602-2750",
            "fax_number": "423-602-2762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES",
        "first_name": "JAMIE",
        "middle_name": "H",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q023410",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "moses@direct.vic.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2358 Lifestyle Way Ste 100",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374214907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.