Maura Lee Muzzall-Moore, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10000002975 Issued in WA

Practice address

529 Jasmine St
Omak, WA 98841-9589

Phone

(529) 826-1600

Fax

(509) 826-3633

NPI assigned

May 12, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Mindcare Solutions of Texas PA

  • Psychiatry Physician
  • Austin, TX
  • NPI 1396290730
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730139320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3188",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988413188",
            "telephone_number": "509-826-1600",
            "fax_number": "509-826-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 JASMINE ST",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419589",
            "telephone_number": "529-826-1600",
            "fax_number": "509-826-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUZZALL-MOORE",
        "first_name": "MAURA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10000002975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIM COMPENSATION",
            "identifier": "8931006",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS INSURANCE CO,",
            "identifier": "5530MU",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8371858",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "0176649",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennie Lynn Mollerup, AU.D., CCC-A
• Emelia Monreal, B.A. / B.S.
• Emily L Morris
• Keeley-Shaye Morris
• Carmen Itzel Muniz
• Paul B Myers, MD
• Emil Jonas Navarrete, PHARMD
• Darlene Nealey
• Jason James Neely, LICSW
• Kirstin Nelson, RD

• Medical Physician Assistant in Omak, WA
• Providers in Omak, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.