Mohamad Moussawi, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1010092581 Issued in VT

Practice address

9 Crest Rd
Saint Albans, VT 05478-9701

Phone

(802) 527-0753

Fax

(802) 524-2695

NPI assigned

Feb 5, 2013

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Health Partners - Vermont LLPGroup PAC ID 7810896032, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwestern Medical Center Inc Hospital, Saint Albans, VT, CCN 470024

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmoussawi@pchpmd.medentdirect.com

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.

• Primary Care Health Partners - Vermont LLP

  • Family Medicine Physician
  • Williston, VT
  • NPI 1285687616
  Medicare reassignment Care Compare group NPD
• Primary Care Health Partners - New York LLP

  • Family Medicine Physician
  • Plattsburgh, NY
  • NPI 1003861782
  NPD
• Neurological Associates of VT

  • Neurology Physician
  • Burlington, VT
  • NPI 1023127081
  NPD (past)
• Primary Care Health Partners

  • Pediatrics Physician
  • Brattleboro, VT
  • NPI 1740246925
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwestern Medical Center Inc

  dba Northwestern Medical Center

  • General Acute Care Hospital
  • Saint Albans, VT
  • NPI 1386689875
  Care Compare affiliation

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1831438233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLAIR PARK RD STE 285",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957586",
            "telephone_number": "802-288-1140",
            "fax_number": "802-288-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CREST RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054789701",
            "telephone_number": "802-527-0753",
            "fax_number": "802-524-2695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "792 College Pkwy",
            "address_2": "SUITE 207",
            "address_purpose": "LOCATION",
            "city": "Colchester",
            "state": "VT",
            "postal_code": "054463052",
            "country_code": "US",
            "telephone_number": "802-655-3400",
            "fax_number": "802-655-9170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSSAWI",
        "first_name": "MOHAMAD",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-05",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "1010092581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021461",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmoussawi@pchpmd.medentdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9 Crest Rd",
            "city": "Saint Albans",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054789701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Morong, LCMHC
• Clarissamae Morrical
• Mountain Medical LLC
• Beth L Mouser, LCMHC
• Mousetrap Pediatrics PC
• Shelley R Mulvaney-Norris, PTA
• Sumeya Musa
• Moussa Nader, DMD
• Liel Navi, M.D.
• Ned I Shulman MD PC

• Nurse Practitioner in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.

Verify at the official NPI Registry.