Individual provider Active NPI

Amber Moss, DO

  • Family Medicine Physician
  • Gillette, WY
National Provider Identifier
1386022630
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO4807 Issued in TN
Practice address
619 Par Dr
Gillette, WY 82718-7623
Phone
(423) 620-8971
NPI assigned
May 7, 2015
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102207261 VA
Family Medicine Physician 207Q00000X DO4807 TN Primary
Family Medicine Physician 207Q00000X 117-T2 WY

Addresses

Primary practice location

619 Par Dr
Gillette, WY 82718-7623

Mailing address

619 Par Dr
Gillette, WY 82718-7623
Phone (423) 620-8971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NC, VA, TN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180118001079 WY Practitioner - Family PracticePractitioner - Emergency Medicine 0042509309 Reassigns benefits to 2 organizations
I20180820000973 NC Practitioner - Family Practice 0042509309 Reassigns benefits to 2 organizations
I20220712000175 VA Practitioner - Family Practice 0042509309 Reassigns benefits to 2 organizations
I20230515000486 TN Practitioner - Family Practice 0042509309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holston Medical Group PCGroup PAC ID 8224935754, 239 clinicians

Practice addresses (Care Compare)

2033 Meadowview LN
Suite 300
Kingsport, TN 37660-7433
Phone (423) 857-2260

469 Hwy 50
Gillette, WY 82718-9330
Phone (307) 387-9850

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
117-T2WYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoskinson Health & Wellness Clinic LLC CurrentSince Jun 20, 2025 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Oct 1, 2018 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Family Medicine CurrentSince Sep 17, 2018 Accepting new patients
Hoskinson Health & Wellness Clinic LLC Family Medicine Current Accepting new patients
Western Virginia Regional Emergency Physicians, LLC CurrentSince May 28, 2022 Accepting new patients
Emergency Coverage, LLC Family Medicine CurrentSince Oct 24, 2022 Accepting new patients
Holston Medical Group PC Family Medicine CurrentSince May 11, 2023 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Oct 1, 2018 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Sep 17, 2018 Accepting new patients
Moss Health LLC Family Medicine CurrentSince Sep 1, 2026 Accepting new patients
Moss Health Family Medicine Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1123 N Church St
Greensboro, NC 27401
Phone (336) 832-4400

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038

3940 Arrowhead Blvd
Mebane, NC 27302
Phone (336) 538-7725

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

2033 Meadowview Ln
Ste 300
Kingsport, TN 37660
Phone (423) 857-2260

100 15th St NW
Norton, VA 24273
Phone (276) 439-1000

127 Health Care Dr
Pennington Gap, VA 24277
Phone (276) 299-5000

1103 E Boxelder Rd
Ste L
Gillette, WY 82718

201 W Lakeway Rd
Ste 200
Gillette, WY 82718
Phone (307) 387-9850

469 Wyoming Highway 50
Gillette, WY 82718
Phone (307) 387-9850

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1386022630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 PAR DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827187623",
            "telephone_number": "423-620-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 PAR DR",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827187623",
            "telephone_number": "423-620-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "AMBER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102207261",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO4807",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "117-T2",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

Verify at the official NPI Registry.