Porcha Mosley

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704291470 Issued in MI

Practice address

1484 Straits Dr Ste 5
Bay City, MI 48706-8718

Phone

(989) 667-8740

NPI assigned

May 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of LapeerGroup PAC ID 4183533193, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• County of Lapeer

  • Community/Behavioral Health Agency
  • Lapeer, MI
  • NPI 1275585929

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Michigan Family Medicine and Urgent Care

  • Family Medicine Physician
  • Dewitt, MI
  • NPI 1497225403

  Single Specialty

  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Portage, MI
  • NPI 1669091864

  Single Specialty

  Medicare reassignment NPD
• County of Lapeer

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lapeer, MI
  • NPI 1518857085
  NPD
• Vpa PC

  • Family Medicine Physician
  • Troy, MI
  • NPI 1336153295

  Single Specialty

  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362

  Single Specialty

  NPD
• Groesbeck RX LLC

  • Community/Retail Pharmacy
  • Lathrup Village, MI
  • NPI 1336616671
  NPD (past)

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1508393711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 STRAITS DR STE 5",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068718",
            "telephone_number": "989-667-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 STRAITS DR STE 5",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068718",
            "telephone_number": "989-667-8740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14121 Parke Long Ct",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201511647",
            "country_code": "US",
            "telephone_number": "810-391-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14121 Parke Long Ct",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201511647",
            "country_code": "US",
            "telephone_number": "810-391-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "PORCHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704291470",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704291470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenzie Morse
• Gilbert Mosher, DO
• Mary Mosher, OT
• Lori Moskal
• Ce'Aira Mosley
• Raul Mosqueda, DDS
• Connie Lynn Mossner
• Kayla Mae Motter, M.A., CCC-SLP
• Adrita Nourin Mou, MD
• Jayne Mowry

• Family Nurse Practitioner in Bay City, MI
• Providers in Bay City, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.