Individual provider Active NPI

Kimberly C. Moss, FNP

  • Family Nurse Practitioner
  • Sahuarita, AZ
National Provider Identifier
1811356405
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
256716 Issued in AZ
Practice address
16260 S Rancho Sahuarita Blvd Ste 200
Sahuarita, AZ 85629-0740
Phone
(520) 575-1175
Fax
(520) 757-1183
NPI assigned
Feb 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP017954 PA
Family Nurse Practitioner 363LF0000X 256716 AZ Primary
Family Nurse Practitioner 363LF0000X 20910 TN

Addresses

Primary practice location

16260 S Rancho Sahuarita Blvd Ste 200
Sahuarita, AZ 85629-0740

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7211

Other names 1

  • Kimberly C. Rollings Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.rollings.1@1576.direct.athenahealth.com Direct
Direct Messaging Address kimberly.moss.1@1576.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160307001608 TN Practitioner - Nurse Practitioner 2264738988 Reassigns benefits to 1 organization
I20210426002597 AZ Practitioner - Nurse Practitioner 2264738988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629-0047

8333 N Silverbell Rd
Suite 161
Tucson, AZ 85743-7371
Phone (520) 202-7770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
50.84 of 100Reported as group
Quality
7.69
Promoting interoperability
100
Improvement activities
0
Cost
78.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017954PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Feb 9, 2016 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Oct 1, 2023 Accepting new patients
Summit Medical Group, PLLC CurrentSince Feb 9, 2016 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

16260 S Rancho Sahuarita Blvd
Ste 200
Sahuarita, AZ 85629
Phone (520) 352-1072

4001 E Sunrise Dr
Ste 121
Tucson, AZ 85718
Phone (520) 209-7000

3870 W River Rd
Ste 126
Tucson, AZ 85741
Phone (520) 209-7000

1370 N Silverbell Rd
Ste 170
Tucson, AZ 85745
Phone (520) 205-8950

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

7744 Conner Rd
Powell, TN 37849
Phone (865) 546-9751

Interoperability endpoints

  • Direct secure messaging: kimberly.rollings.1@1576.direct.athenahealth.com
  • Direct secure messaging: kimberly.moss.1@1576.direct.athenahealth.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 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": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1811356405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 S RANCHO SAHUARITA BLVD STE 200",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856290740",
            "telephone_number": "520-575-1175",
            "fax_number": "520-757-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "KIMBERLY",
        "middle_name": "C.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017954",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "256716",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.rollings.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3870 W River Rd Ste 126",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857413080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.moss.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16260 S Rancho Sahuarita Blvd Ste 200",
            "city": "Sahuarita",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856290740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ROLLINGS",
            "middle_name": "C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sahuarita, AZ

Sources for this page

Verify at the official NPI Registry.