Matthew S Moses, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2010028009 Issued in MO

Practice address

1300 N One Mile Rd Ste 3
Dexter, MO 63841-1001

Phone

(573) 624-7575

Fax

(573) 624-3157

NPI assigned

Sep 14, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Piggott Community Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Piggott, AR
  • NPI 1871555185
  Medicare reassignment NPD
• Piggott Community Hospital

  • Critical Access Hospital
  • Piggott, AR
  • NPI 1891781837
  NPD
• Piggott Community Hospital

  • Rural Health Clinic/Center
  • Campbell, MO
  • NPI 1033100870
  NPD (past)

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1720396674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 W BUSINESS HIGHWAY 60",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "63841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N ONE MILE RD STE 3",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411001",
            "telephone_number": "573-624-7575",
            "fax_number": "573-624-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2010028009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naveed Javaid Mirza, MD
• Rubina A Mirza, MD
• Missouri Delta Medical Center
• Kevin Wayne Mitchell, DDS
• Jana Laurie Moore, OTR
• David Mulcahy, RPH
• Annessa Murdock
• Joseph Murray, DO
• N & R of Dexter, Inc.
• New Dawn Care LLC

• Family Nurse Practitioner in Dexter, MO
• Providers in Dexter, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.