Individual provider Active NPI

Catherine Egeolu Moss, FNP

  • Family Nurse Practitioner
  • North Kansas City, MO
National Provider Identifier
1841329166
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020020502 Issued in MO
Practice address
2790 Clay Edwards Dr Ste 410
North Kansas City, MO 64116-3274
Phone
(816) 474-9353
Fax
(816) 474-3627
NPI assigned
Mar 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3176 NE
Family Nurse Practitioner 363LF0000X 2020020502 MO Primary

Addresses

Primary practice location

2790 Clay Edwards Dr Ste 410
North Kansas City, MO 64116-3274

Mailing address

2790 Clay Edwards Dr Ste 410
North Kansas City, MO 64116-3274
Phone (168) 474-9353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20220525002130 MO Practitioner - Nurse Practitioner 4789061623 Reassigns benefits to 1 organization
I20220921000936 KS Practitioner - Nurse Practitioner 4789061623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates MD PAGroup PAC ID 9931012820, 20 clinicians

Practice addresses (Care Compare)

2521 Glenn Hendren Dr
Suite 202
Liberty, MO 64068-3388
Phone (816) 474-9353

9501 State Ave
Suite 1
Kansas City, KS 66111-1871
Phone (913) 441-5757

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3176NEMDMental Health Counselor
2020020502MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates MD PA CurrentSince Apr 11, 2022 Accepting new patients
Transtreme, LLC Family Past Accepting new patients
Aduray Counseling Services Past Accepting new patients

Locations

9501 State Ave
Ste 1
Kansas City, KS 66111
Phone (913) 596-1700

3737 State Ave
Kansas City, KS 66102
Phone (913) 223-0536

1295 E 151st St
Ste 7
Olathe, KS 66062
Phone (913) 381-0622

11111 Nall Ave
Ste 114
Overland Park, KS 66211
Phone (913) 383-1202

8901 W 74th St
Ste 328
Shawnee Msn, KS 66204

2521 Glenn Hendren Dr
Ste 202
Liberty, MO 64068
Phone (816) 415-3470

2790 Clay Edwards Dr
Ste 410
North Kansas City, MO 64116
Phone (816) 474-9353

Interoperability endpoints

  • Direct secure messaging: catherine.moss.p1@direct.nephkc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 6

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": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1841329166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 410",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163274",
            "telephone_number": "168-474-9353",
            "fax_number": "816-747-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 410",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163274",
            "telephone_number": "816-474-9353",
            "fax_number": "816-474-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "CATHERINE",
        "middle_name": "EGEOLU",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3176",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020020502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.