Individual provider Active NPI

Jessica Frances Moses, FNP-BC

  • Family Nurse Practitioner
  • Bennington, VT
National Provider Identifier
1679013171
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0128475 Issued in VT
Practice address
332 Dewey St
Bennington, VT 05201-2225
Phone
(802) 442-6314
NPI assigned
Mar 2, 2017
Last updated
Mar 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101.0128475 VT Primary

Addresses

Primary practice location

332 Dewey St
Bennington, VT 05201-2225

Mailing address

76 Grandma Moses Rd
Eagle Bridge, NY 12057-2401
Phone (518) 915-4696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170330000289 VT Practitioner - Nurse Practitioner 8426333659 Reassigns benefits to 2 organizations
I20180410000844 MA Practitioner - Nurse Practitioner 8426333659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Berkshire Medical PCGroup PAC ID 4183907603, 6 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Bennington, VT 05201-5004
Phone (413) 398-1000

332 Dewey St
Bennington, VT 05201-2225
Phone (802) 442-6314

375 Main St
Williamstown, MA 01267-2610
Phone (413) 398-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Vermont Medical Center Inc. CurrentSince Apr 10, 2017 Accepting new patients
Northern Berkshire Medical, PC CurrentSince Feb 13, 2018 Accepting new patients
Southwestern Vermont Medical Center, Inc CurrentSince Apr 10, 2017 Accepting new patients

Locations

375 Main St
Williamstown, MA 01267
Phone (413) 398-1000

100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509

140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836

332 Dewey St
Bennington, VT 05201
Phone (802) 442-2034

Interoperability endpoints

  • Direct secure messaging: jessica.moses.1@3744.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1679013171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 GRANDMA MOSES RD",
            "city": "EAGLE BRIDGE",
            "state": "NY",
            "postal_code": "120572401",
            "telephone_number": "518-915-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 DEWEY ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012225",
            "telephone_number": "802-442-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "JESSICA",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0128475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

Verify at the official NPI Registry.