Individual provider Active NPI

Megan Moss

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1689313017
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
271871 Issued in AZ
Practice address
2945 S Dobson Rd
Mesa, AZ 85202-7941
Phone
(480) 969-4128
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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 271871 AZ Primary

Addresses

Primary practice location

2945 S Dobson Rd
Mesa, AZ 85202-7941

Mailing address

2945 S Dobson Rd
Mesa, AZ 85202-7941

Other practice location 1

3367 S Mercy Rd Ste 210
Gilbert, AZ 85297-7604
Phone (480) 969-4138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220623003241 AZ Practitioner - Nurse Practitioner 2668851486 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271871AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunstate Cardiology PC CurrentSince Oct 30, 2023 Accepting new patients
Arizona Advanced Surgery LLC CurrentSince Jul 15, 2022 Accepting new patients
Advanced Surgical Associates, LTD. CurrentSince Jul 15, 2022 Accepting new patients
Spine & Sports Rehabilitation Institute PastSince Oct 1, 2013 Accepting new patients

Locations

60 N McClintock Dr
Ste 3
Chandler, AZ 85226
Phone (480) 821-3800

1100 S Dobson Rd
Ste 118
Chandler, AZ 85286
Phone (480) 821-3800

3367 S Mercy Rd
Ste 210
Gilbert, AZ 85297
Phone (480) 850-2098

2945 S Dobson Rd
Mesa, AZ 85202
Phone (480) 699-2508

2320 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-3262

2600 E Southern Ave
Ste I1
Tempe, AZ 85282
Phone (480) 420-3600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9401/brand/1/csg/1/fhir/r4
  • Direct secure messaging: megan.moss.2@9401.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD

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.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1689313017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 S DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 S DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027941",
            "telephone_number": "480-969-4128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3367 S Mercy Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852977604",
            "country_code": "US",
            "telephone_number": "480-969-4138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "271871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.