Active NPI
Wendy B Moose, NP
- Gerontology Nurse Practitioner
- Asheville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 5007149
- Practice address
- 90 Southside Ave
Suite 350
Asheville, NC 28801-4160 - Phone
- (828) 277-4810
- NPI assigned
- Aug 25, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 5007149 | NC | |
| Gerontology Nurse Practitioner | 363LG0600X | 5007149 | NC | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 5007149 | NC | |
| Nurse Practitioner | 363L00000X | 5007149 | NC |
Addresses
Primary practice location
90 Southside Ave
Suite 350
Asheville, NC 28801-4160
Mailing address
90 Southside Ave
Suite 350
Asheville, NC 28801-4160
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386044501 | Medicaid | NC | |
| 1897C | Other | NC | BCBS NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5306 NC Hwy 55
Suite 105
Durham, NC 27713-7812
Phone (337) 991-9276
581 NC Hwy 16 S
Taylorsville, NC 28681-9103
Phone (860) 882-7525
Hospital & facility affiliations
- Medi Home Hospice
- Blue Ridge Healthcare Hospitals, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5007149 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careconnectmd North Carolina P.C. | Current | Accepting new patients | |
| Physicians Eldercare PA | Current | Accepting new patients | |
| Curana Health of North Carolina PLLC | Current | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
555 S Mangum St
Ste 100
Durham, NC 27701
Phone (323) 545-3659
5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517
322 Nuway Cir
Lenoir, NC 28645
Phone (828) 754-8500
70 Oak St
Tryon, NC 28782
Phone (828) 859-9161
4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1770217176
-
- General Practice Physician
- Durham, NC
- NPI 1023083268
-
- Geriatric Medicine (Family Medicine) Physician
- Hickory, NC
- NPI 1801478086
-
- General Practice Physician
- Durham, NC
- NPI 1104507441
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rutherford College, NC
- NPI 1306821798
-
- Hematology & Oncology Physician
- Morganton, NC
- NPI 1417000837
Hospital
-
- Hematology & Oncology Physician
- Valdese, NC
- NPI 1487707964
Hospital
-
- General Acute Care Hospital
- Morganton, NC
- NPI 1700860491
-
- Community Based Hospice Care Agency
- Newland, NC
- NPI 1043370166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1386044501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 SOUTHSIDE AVE",
"address_2": "SUITE 350",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 SOUTHSIDE AVE",
"address_2": "SUITE 350",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014160",
"telephone_number": "828-277-4810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOSE",
"first_name": "WENDY",
"middle_name": "B",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5007149",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "5007149",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "5007149",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5007149",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386044501",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "1897C",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.