Individual provider Active NPI

Melissa Lee Moss, CRNP

  • Family Nurse Practitioner
  • Hermitage, PA
National Provider Identifier
1851061170
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024015 Issued in PA
Practice address
875 N Hermitage Rd
Hermitage, PA 16148-3278
Phone
(724) 342-4310
NPI assigned
Sep 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP024015 PA Primary

Addresses

Primary practice location

875 N Hermitage Rd
Hermitage, PA 16148-3278

Mailing address

875 N Hermitage Rd Ste 1
Hermitage, PA 16148-3278
Phone (724) 342-4310

Other names 1

  • Melissa Lee Long Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 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
I20210927001690 PA Practitioner - Nurse Practitioner 0345647848 Reassigns benefits to 2 organizations
I20220210001838 OH Practitioner - Nurse Practitioner 0345647848 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
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

875 N Hermitage Rd
1 HRZN Fmly Med Upmc
Hermitage, PA 16148-3278
Phone (724) 962-3528

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP024015PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine, Inc. CurrentSince Dec 30, 2024 Accepting new patients
Steward Medical Group Inc. CurrentSince Mar 15, 2022 Accepting new patients
Upmc Community Medcine Inc CurrentSince Dec 30, 2024 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Steward Medical Group Inc. CurrentSince Mar 15, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 15, 2022 Accepting new patients

Locations

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

7264 Warren Sharon Rd
Brookfield, OH 44403
Phone (330) 448-3060

880 W Liberty St
Hubbard, OH 44425
Phone (330) 269-1916

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

1263 Elk St
Franklin, PA 16323
Phone (814) 437-3674

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

875 N Hermitage Rd
Hermitage, PA 16148
Phone (724) 347-4781

875 N Hermitage Rd
Ste 1
Hermitage, PA 16148
Phone (724) 342-4310

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

62 Strawbridge Ave
Sharon, PA 16146
Phone (724) 347-2955

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

Interoperability endpoints

  • Direct secure messaging: melissa.moss.1@15594.direct.athenahealth.com

Organizations & group practices 6

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": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1851061170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 N HERMITAGE RD STE 1",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483278",
            "telephone_number": "724-342-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N HERMITAGE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483278",
            "telephone_number": "724-342-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "MELISSA",
        "middle_name": "LEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LONG",
            "middle_name": "LEE",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.