Active NPI
Jonathan Moseley, PA-C
- Physician Assistant
- Northville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601011086
- Practice address
- 39901 Traditions Dr
Northville, MI 48168-9493 - Phone
- (248) 305-4400
- NPI assigned
- May 30, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 50.005951RX | OH | |
| Physician Assistant | 363A00000X | 5601011086 | MI | Primary |
Addresses
Primary practice location
39901 Traditions Dr
Northville, MI 48168-9493
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
30575 Woodward Ave
Royal Oak, MI 48073-0980
Phone (248) 280-8550
Other practice location 2
45816 Schoenherr Rd
Shelby Twp, MI 48315-6028
Phone (586) 842-2400
Other practice location 3
3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3761
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jonathan.moseley.1@9974.direct.athenahealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11900 E 12 Mile Rd
308 Amg Cardiothoracic Surgical Associa
Warren, MI 48093-3491
Phone (248) 849-2600
17877 W 14 Mile Rd
Beverly Hills, MI 48025-3127
Phone (248) 644-3920
26025 Lahser Rd
FL 2
Southfield, MI 48033-2606
Phone (248) 663-1900
27483 Dequindre Rd
Suite 204
Madison Heights, MI 48071-5711
Phone (248) 967-7326
30575 Woodward Ave
Royal Oak, MI 48073-0980
Phone (248) 280-8550
45816 Schoenherr Rd
Shelby Township, MI 48315-6028
Phone (248) 714-1635
4967 Crooks Rd
Suite 100
Troy, MI 48098-5812
Phone (248) 714-1635
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Henry Ford Health Warren Hospital
- Beaumont Hospital, Troy
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Orthopaedic Surgeons, PLLC | Current | Accepting new patients | |
| Regents of the University of Michigan | Physician Assistant | Current | Accepting new patients |
| Medical University of Ohio at Toledo | Current | Accepting new patients | |
| Michigan Orthopaedic Surgeons PLLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
17877 W 14 Mile Rd
Beverly Hills, MI 48025
Phone (248) 644-3920
8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510
30575 Woodward Ave
Ste 100
Royal Oak, MI 48073
Phone (248) 280-8550
26211 Central Park Blvd
Ste 201
Southfield, MI 48076
Phone (248) 845-4381
26025 Lahser Rd
Fl 2
Southfield, MI 48033
Phone (248) 663-1900
45816 Schoenherr Rd
Utica, MI 48315
Phone (586) 842-2400
3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556
Interoperability endpoints
- jmoseley24569@direct.utoledo.edu
- jonathan.moseley.1@9974.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Orthopaedic Surgery Physician
- Southfield, MI
- NPI 1306394309
-
- Family Medicine Physician
- Warren, MI
- NPI 1134176472
-
- Physician Assistant
- Brighton, MI
- NPI 1457378036
-
- Urgent Care Clinic/Center
- Dearborn, MI
- NPI 1437796216
-
- Multi-Specialty Clinic/Center
- Dearborn, MI
- NPI 1194364984
-
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
- Durable Medical Equipment & Medical Supplies
- Shelby Township, MI
- NPI 1730838467
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1790343267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39901 TRADITIONS DR",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481689493",
"telephone_number": "248-305-4400"
}
],
"practiceLocations": [
{
"address_1": "30575 Woodward Ave",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480730980",
"country_code": "US",
"telephone_number": "248-280-8550",
"fax_number": "248-280-8571",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45816 Schoenherr Rd",
"address_purpose": "LOCATION",
"city": "Shelby Twp",
"state": "MI",
"postal_code": "483156028",
"country_code": "US",
"telephone_number": "586-842-2400",
"fax_number": "586-991-6054",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 Arlington Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436142595",
"country_code": "US",
"telephone_number": "419-383-3761",
"fax_number": "419-383-2933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSELEY",
"first_name": "JONATHAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-30",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OH",
"license": "50.005951RX",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601011086",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jonathan.moseley.1@9974.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "Athena Health",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "45816 Schoenherr Rd",
"city": "Shelby Twp",
"state": "MI",
"country_code": "US",
"postal_code": "483156028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.