Individual provider Active NPI

Tonya Leigh Moses, CRNP

  • Family Nurse Practitioner
  • Fort Payne, AL
National Provider Identifier
1710038906
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1072400 Issued in AL
Practice address
1906 Glenn Blvd SW Ste 100a
Fort Payne, AL 35968-3546
Phone
(256) 997-5900
NPI assigned
Jan 15, 2007
Last updated
Sep 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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 1072400 AL Primary

Addresses

Primary practice location

1906 Glenn Blvd SW Ste 100a
Fort Payne, AL 35968-3546

Mailing address

1906 Glenn Blvd SW Ste 100a
Fort Payne, AL 35968-3546
Phone (256) 997-5900

Other identifiers 16

IdentifierTypeStateIssuer
051500703OtherALBLUE CROSS BLUE SHIELD
630307031MedicaidAL
630309031MedicaidAL
P00212471OtherALMEDICARE RAILROAD RETIREM
051500700MedicaidAL
161381MedicaidAL
630306031MedicaidAL
630308031MedicaidAL
051500695OtherALBLUE CROSS BLUE SHIELD
051500696OtherALBLUE CROSS BLUE SHIELD
051500697OtherALBLUE CROSS BLUE SHIELD
630302031MedicaidAL
630303031MedicaidAL
051500704OtherALBLUE CROSS BLUE SHIELD
511-40864OtherALBCBS LOCATION ID
155232MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080423000360 AL Practitioner - Nurse Practitioner 1254419880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ft Payne Careplus LLCGroup PAC ID 6709127392, 3 clinicians
Careplus Family Medical LLCGroup PAC ID 9335374255, 4 clinicians

Practice addresses (Care Compare)

3000 Gault Ave N
Fort Payne, AL 35967-3828
Phone (256) 697-1012

8914 US Hwy 431
Albertville, AL 35950-0157
Phone (256) 279-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1072400ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ft Payne Careplus, LLC CurrentSince Jan 26, 2019 Accepting new patients
Careplus Family Medical, LLC CurrentSince Apr 1, 2015 Accepting new patients
Anniston Careplus, LLC PastSince Apr 1, 2015 Accepting new patients
Northeast Alabama Health Services, Inc. Past Accepting new patients

Locations

8914 US Highway 431
Albertville, AL 35950
Phone (256) 279-7200

3000 Gault Ave N
Fort Payne, AL 35967
Phone (256) 697-1012

Interoperability endpoints

  • Direct secure messaging: moses@cpfm.gwaydirect.com

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, 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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1710038906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 GLENN BLVD SW STE 100A",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683546",
            "telephone_number": "256-997-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 GLENN BLVD SW STE 100A",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683546",
            "telephone_number": "256-997-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "TONYA",
        "middle_name": "LEIGH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1072400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051500703",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630307031",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630309031",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD RETIREM",
            "identifier": "P00212471",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051500700",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161381",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630306031",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630308031",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051500695",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051500696",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051500697",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630302031",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630303031",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051500704",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LOCATION ID",
            "identifier": "511-40864",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155232",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.