Individual provider Active NPI

Michael Mosley, CRNP

  • Nurse Practitioner
  • Meadville, PA
National Provider Identifier
1841970530
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP025710 Issued in PA
Practice address
765 Liberty St Ste 307B
Meadville, PA 16335-2569
Phone
(814) 333-5691
Fax
(814) 333-7093
NPI assigned
Jul 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP025710 PA Primary

Addresses

Primary practice location

765 Liberty St Ste 307B
Meadville, PA 16335-2569

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-5691

Other practice location 1

751 Liberty St Ste G19
Meadville, PA 16335-2559
Phone (814) 373-2156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20230907001254 PA Practitioner - Nurse Practitioner 2264896430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians

Practice addresses (Care Compare)

1034 Grove St
Meadville, PA 16335-2945

704 N Main St
Meadville, PA 16335-1955

765 Liberty St
Meadville, PA 16335-2566
Phone (814) 333-5691

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center CurrentSince Jul 8, 2023 Accepting new patients
Meadville Medical Center CurrentSince Jul 8, 2023 Accepting new patients
Primary Care Services Past Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

765 Liberty St
Ste 105
Meadville, PA 16335
Phone (814) 373-2310

704 N Main St
Meadville, PA 16335
Phone (814) 373-2923

765 Liberty St
Ste 307B
Meadville, PA 16335
Phone (814) 333-5691

751 Liberty St
Ste G19
Meadville, PA 16335
Phone (814) 333-5405

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

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 1

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": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1841970530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-5691",
            "fax_number": "814-333-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 LIBERTY ST STE 307B",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352569",
            "telephone_number": "814-333-5691",
            "fax_number": "814-333-7093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Liberty St Ste G19",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352559",
            "country_code": "US",
            "telephone_number": "814-373-2156",
            "fax_number": "814-373-2159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "MICHAEL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP025710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.