Active NPI
Mordan Alexandra Pappas
- Family Nurse Practitioner
- Mooresville, NC
National Provider Identifier
1558183145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RNP277189
- Practice address
- 170 Medical Park Rd Ste 204
Mooresville, NC 28117-8583 - Phone
- (215) 317-2961
- NPI assigned
- Oct 25, 2024
- Last updated
- Nov 12, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RNP277189 | AZ | Primary |
Addresses
Primary practice location
170 Medical Park Rd Ste 204
Mooresville, NC 28117-8583
Mailing address
170 Medical Park Rd Ste 204
Mooresville, NC 28117-8583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNP277189 | AZ | MD | Family Nurse Practitioner |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1558183145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 MEDICAL PARK RD STE 204",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 MEDICAL PARK RD STE 204",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178583",
"telephone_number": "215-317-2961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPPAS",
"first_name": "MORDAN",
"middle_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-25",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RNP277189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
- Panther Health, LLC (Cannon Pharmacy Mooresville DME)
- Panther Health, LLC (Cannon Pharmacy Mooresville)
- Rebecca McElhannon Panuski, M.D.
- Dannielle Cathleen Panzeter, CRNA
- Nicole Pappalardo
- Paragon Hospice Management, LP (New Century Hospice of Houston)
- Jane Park, CCC-SLP
- Janice Parker, LCSW
- Leslie Samuelita Parker, MS CCC/SLP
- Penney Elaine Parker, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.