Individual provider Active NPI

Angela Lorine Mosser, CRNP

  • Nurse Practitioner
  • Troy, PA
National Provider Identifier
1699740217
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
TP003230B Issued in PA
Practice address
45 Mud Creek Rd
Troy, PA 16947-9529
Phone
(570) 297-3746
Fax
(570) 297-5127
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X TP003230B PA Primary

Addresses

Primary practice location

45 Mud Creek Rd
Troy, PA 16947-9529

Mailing address

571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050

Other names 1

  • Ms. Angela Siedhof Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101207000069 PA Practitioner - Nurse Practitioner 8123215969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearfield-Jefferson Primary Care Associates PC 73 clinicians

Practice addresses (Care Compare)

33 Beaver Dr
Suite 1
Du Bois, PA 15801-2434
Phone (814) 503-8070

Hospital & facility affiliations

  • Robert Packer Hospital Hospital, Sayre, PA, CCN 390079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP003230BPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arnot Medical Services PLLC CurrentSince Apr 3, 2017 Accepting new patients
Physiatry Consultants of NC PLLC CurrentSince Mar 16, 2026 Accepting new patients
Clearfield-Jefferson Primary Care Associates PC CurrentSince Apr 17, 2023 Accepting new patients
Guthrie Medical Group, P.C. Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050

33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990

33 Beaver Dr
Dubois, PA 15801
Phone (717) 315-2890

1104 Welsh Rd
Philadelphia, PA 19115
Phone (215) 676-7191

500 Philadelphia Ave
Shillington, PA 19607
Phone (610) 777-7841

612 Main St
Towanda, PA 18848
Phone (570) 485-3084

45 Mud Creek Rd
Troy, PA 16947
Phone (570) 297-3746

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.

Hospital & facility affiliations 2

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1699740217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAINT JOSEPHS BLVD FL 2",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013230",
            "telephone_number": "607-271-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MUD CREEK RD",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169479529",
            "telephone_number": "570-297-3746",
            "fax_number": "570-297-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSER",
        "first_name": "ANGELA",
        "middle_name": "LORINE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP003230B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SIEDHOF",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, PA

Sources for this page

Verify at the official NPI Registry.