Individual provider Active NPI

Marquita Danielle Moss, FNP

  • Family Nurse Practitioner
  • Dobson, NC
National Provider Identifier
1457043630
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5022773 Issued in NC
Practice address
105 N Crutchfield St Unit 2
Dobson, NC 27017-8804
Phone
(888) 789-2922
Fax
(336) 789-0856
NPI assigned
May 24, 2023
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28470A SC
Family Nurse Practitioner 363LF0000X 0024190001 VA
Family Nurse Practitioner 363LF0000X 5022773 NC Primary

Addresses

Primary practice location

105 N Crutchfield St Unit 2
Dobson, NC 27017-8804

Mailing address

105 N Crutchfield St Unit 2
Dobson, NC 27017-8804
Phone (888) 789-2922

Other practice location 1

5 Richland Medical Park Dr
Columbia, SC 29203-6863
Phone (803) 434-7000

Other practice location 2

7599 Carrollton Pike Ste C
Galax, VA 24333-6801
Phone (276) 728-1030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmoss@mtnvalleyhospice.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251107000303 VA Practitioner - Nurse Practitioner 4385134329 Reassigns benefits to 2 organizations
I20251107003768 NC Practitioner - Nurse Practitioner 4385134329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospice of Surry County IncGroup PAC ID 2961448741, shared by 4 NPIs, 8 clinicians

Practice addresses (Care Compare)

105 N Crutchfield St
FL 2
Dobson, NC 27017-8804
Phone (888) 789-2922

7599 Carrollton Pike
C
Galax, VA 24333-4269
Phone (276) 728-1030

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5022773NCMDFamily Nurse Practitioner
28470ASCMDFamily Nurse Practitioner
0024190001VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Surry County, Inc CurrentSince Oct 6, 2025 Accepting new patients
Hospice of Surry County, Inc CurrentSince Oct 6, 2025 Accepting new patients
Signify Health, LLC CurrentSince Oct 6, 2025 Accepting new patients

Locations

105 N Crutchfield St
#2
Dobson, NC 27017
Phone (336) 789-2922

1427 Edgewood Dr
Mount Airy, NC 27030
Phone (336) 789-2922

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

7599 Carrollton Pike
Ste C
Galax, VA 24333
Phone (276) 728-1030

730 E Church St
Ste 13
Martinsville, VA 24112
Phone (276) 403-4764

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Interoperability endpoints

  • Direct secure messaging: mmoss@mtnvalleyhospice.org

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, 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": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1457043630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N CRUTCHFIELD ST UNIT 2",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270178804",
            "telephone_number": "888-789-2922",
            "fax_number": "336-789-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N CRUTCHFIELD ST UNIT 2",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270178804",
            "telephone_number": "888-789-2922",
            "fax_number": "336-789-0856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Richland Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036863",
            "country_code": "US",
            "telephone_number": "803-434-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7599 Carrollton Pike Ste C",
            "address_purpose": "LOCATION",
            "city": "Galax",
            "state": "VA",
            "postal_code": "243336801",
            "country_code": "US",
            "telephone_number": "276-728-1030",
            "fax_number": "276-728-1041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "MARQUITA",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28470A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024190001",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmoss@mtnvalleyhospice.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "105 N Crutchfield St Unit 2",
            "city": "Dobson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270178804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dobson, NC

Sources for this page

Verify at the official NPI Registry.