Individual provider Active NPI

Starlita Moss, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1497146294
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1719 Issued in NV
Practice address
3281 N Decatur Blvd Ste 150
Las Vegas, NV 89130-3264
Phone
(702) 463-1088
Fax
(702) 463-0057
NPI assigned
Feb 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1719 NV Primary
Physician Assistant 363A00000X PA17019 NV
Physician Assistant 363A00000X 085005339 IL

Addresses

Primary practice location

3281 N Decatur Blvd Ste 150
Las Vegas, NV 89130-3264

Mailing address

3281 N Decatur Blvd Ste 150
Las Vegas, NV 89130-3264
Phone (702) 800-8988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20160726000866 NV Practitioner - Physician Assistant 1951628171 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PA17019NVMDPhysician Assistant
PA1719NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level Psychiatry Arizona PLLC CurrentSince Feb 19, 2025 Accepting new patients
Behavioral Health Solutions LLC CurrentSince Feb 19, 2025 Accepting new patients
Ageless Men'S Health NV, LLC Past Accepting new patients
Banner Pharmacy Services LLC Past Accepting new patients
Physicians at Work Inc PastSince Aug 5, 2019 Accepting new patients
Housecall Professionals Inc PastSince Jul 1, 2017 Accepting new patients
Comprehensive Urgent Care Past Accepting new patients
Health Diagnostics of California LLC Past Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

Interoperability endpoints

  • Direct secure messaging: starlita.moss.1@24259.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1423958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1497146294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 N DECATUR BLVD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303264",
            "telephone_number": "702-800-8988",
            "fax_number": "702-800-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 N DECATUR BLVD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303264",
            "telephone_number": "702-463-1088",
            "fax_number": "702-463-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "STARLITA",
        "name_prefix": "Dr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-15",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1719",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA17019",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.