Individual provider Active NPI

Jessica Rachel Mosier, M.D.

  • Psychiatry Physician
  • Kalispell, MT
National Provider Identifier
1669645933
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
26597 Issued in MT
Practice address
200 Heritage Way
Kalispell, MT 59901-3146
Phone
(406) 756-3950
Fax
(406) 756-3957
NPI assigned
Apr 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 26597 MT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

200 Heritage Way
Kalispell, MT 59901-3146

Mailing address

200 Heritage Way
Kalispell, MT 59901-3146
Phone (406) 756-3950

Other practice location 1

147 Cornell Dr
Toledo, OH 43614-2910
Phone (810) 434-3246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200331002062 CA Practitioner - Psychiatry 7315180031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Toledo College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of HumboldtGroup PAC ID 4082516950, 21 clinicians

Practice addresses (Care Compare)

720 Wood St
Eureka, CA 95501-4413
Phone (707) 441-5466

Hospital & facility affiliations

  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26597MTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Humboldt CurrentSince Mar 25, 2020 Accepting new patients
County of Humboldt CurrentSince Mar 25, 2020 Accepting new patients
County of Humboldt Current Accepting new patients

Locations

720 Wood St
Eureka, CA 95501
Phone (707) 268-2900

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1669645933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HERITAGE WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013146",
            "telephone_number": "406-756-3950",
            "fax_number": "406-756-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HERITAGE WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013146",
            "telephone_number": "406-756-3950",
            "fax_number": "406-756-3957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Cornell Dr",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142910",
            "country_code": "US",
            "telephone_number": "810-434-3246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSIER",
        "first_name": "JESSICA",
        "middle_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "26597",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.