Individual provider Active NPI

Ryan Nicholas Mossey

  • Family Medicine Physician
  • Pineville, LA
National Provider Identifier
1497515811
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
234619 Issued in LA
Practice address
3221 Military Hwy
Pineville, LA 71360-4226
Phone
(225) 301-2213
NPI assigned
Mar 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 234619 LA Primary

Addresses

Primary practice location

3221 Military Hwy
Pineville, LA 71360-4226

Mailing address

213 Daniels Rd
Ball, LA 71405-3204
Phone (225) 301-2213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240422001888 LA Practitioner - Nurse Practitioner 7911346036 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
234619LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cenla Occupational Medicine Services CurrentSince Apr 1, 2024 Accepting new patients

Locations

3221 Military Hwy
Pineville, LA 71360
Phone (318) 613-7101

Interoperability endpoints

  • Direct secure messaging: rmossey4429546@direct.trinity-health.org

Organizations & group practices 1

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": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1497515811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 DANIELS RD",
            "city": "BALL",
            "state": "LA",
            "postal_code": "714053204",
            "telephone_number": "225-301-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 MILITARY HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604226",
            "telephone_number": "225-301-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSEY",
        "first_name": "RYAN",
        "middle_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "234619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.