Vicki Ann Moceo, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

559374 Issued in TX

Practice address

805 N Dickinson Drive
Rusk, TX 75785

Phone

(903) 683-7201

Fax

(903) 683-7199

NPI assigned

Feb 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Vericare, P.C.

  dba Vericare

  • Clinical Psychologist
  • Texas City, TX
  • NPI 1235187451
  NPD (past)

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1376882605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757660488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N DICKINSON DRIVE",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "75785",
            "telephone_number": "903-683-7201",
            "fax_number": "903-683-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCEO",
        "first_name": "VICKI",
        "middle_name": "ANN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "559374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "559374",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "00000238225",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mdmac Logistics PLLC (Rusk Health Clinic)
• Belinda Meharry, APRN, PMHNP-BC
• Tina M Mergerson, LMSW
• Milk & Honey Lactation Services LLC
• Milk & Honey Lactation Services LLC
• Jared Moore, PHARMD
• James Mark Morris, MD
• Joseph Franklin Moss, PA
• Gerald R Ocker, D.D.S.
• Aaron Scott Owens, MSN, APRN, PMHNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Rusk, TX
• Providers in Rusk, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.

Verify at the official NPI Registry.