Individual provider Active NPI

Moss Hannon Purcell

  • Surgical Physician Assistant
  • West Palm Beach, FL
National Provider Identifier
1528913761
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9121803 Issued in FL
Practice address
1411 N Flagler Dr Ste 8300
West Palm Beach, FL 33401-3413
Phone
(561) 832-1234
Fax
(561) 832-5316
NPI assigned
Mar 3, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA9121803 FL Primary

Addresses

Primary practice location

1411 N Flagler Dr Ste 8300
West Palm Beach, FL 33401-3413

Mailing address

1411 N Flagler Dr Ste 8300
West Palm Beach, FL 33401-3413
Phone (561) 832-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260611000238 FL Practitioner - Physician Assistant 1254803216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6415 Lake Worth Rd
Suite 102
Greenacres, FL 33463-3009

PO
Suite 7370
Philadelphia, PA 19195-7370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA9121803FLMDSurgical Physician Assistant

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": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1528913761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 8300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013413",
            "telephone_number": "561-832-1234",
            "fax_number": "561-832-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 8300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013413",
            "telephone_number": "561-832-1234",
            "fax_number": "561-832-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "MOSS",
        "middle_name": "HANNON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9121803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.