Active NPI
Nolan T Moyer, CRNP
- Adult Health Nurse Practitioner
- Easton, PA
National Provider Identifier
1548200249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- TP003686C
- Practice address
- 4100 Freemansburg Ave
Easton, PA 18045-5540 - Phone
- (610) 330-9030
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | TP003686C | PA | Primary |
Addresses
Primary practice location
4100 Freemansburg Ave
Easton, PA 18045-5540
Mailing address
4100 Freemansburg Ave
Easton, PA 18045-5540
Phone (610) 330-9030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ray C Wunderlich Jr M.D. P.a. | Past | Accepting new patients | |
| Mobile Medical Industries Inc | Past | Accepting new patients | |
| Careservices of Central Florida LLC | Past | Accepting new patients | |
| Quality Healthcare Alliance LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
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-
- Point of Service
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474329600000",
"number": "1548200249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 FREEMANSBURG AVE",
"city": "EASTON",
"state": "PA",
"postal_code": "180455540",
"telephone_number": "610-330-9030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 FREEMANSBURG AVE",
"city": "EASTON",
"state": "PA",
"postal_code": "180455540",
"telephone_number": "610-330-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "NOLAN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2016-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "TP003686C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.