Individual provider Active NPI

Casandra Moyer, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1891162384
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95002698 Issued in CA
Practice address
2309 Noriega St Ste 888
San Francisco, CA 94122-4239
Phone
(843) 474-5578
Fax
(843) 790-1871
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95002698 CA
Pediatric Nurse Practitioner 363LP0200X 95002698 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202109748 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95002698 CA Primary

Addresses

Primary practice location

2309 Noriega St Ste 888
San Francisco, CA 94122-4239

Mailing address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Phone (843) 474-5578

Other practice location 1

5305 River Rd N Ste B
Keizer, OR 97303-5324
Phone (843) 474-5578

Other names 1

  • Dr. Casandra Moyer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20151201003272 CA Practitioner - Nurse Practitioner 4284934936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Systems IncGroup PAC ID 8628019320, 37 clinicians
Carative Psychiatry Nursing CorporationGroup PAC ID 8628510310, 14 clinicians

Practice addresses (Care Compare)

125 W Mission Ave
Suite 103
Escondido, CA 92025-1721
Phone (760) 747-3424

739 Bryant St
San Francisco, CA 94107-1014
Phone (843) 474-5578

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95002698CAMDPsychiatric/Mental Health Nurse Practitioner
202109748ORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carative Psychiatry Nursing Corporation Psychiatric/Mental Health CurrentSince Apr 24, 2024 Accepting new patients
Mental Health Systems, Inc. CurrentSince May 26, 2021 Accepting new patients
Mental Health Systems, Inc. Current Accepting new patients
Carative Psychiatry PLLC Psychiatric/Mental Health PastSince Apr 24, 2024 Accepting new patients

Locations

9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311

4283 El Cajon Blvd
Ste 115
San Diego, CA 92105
Phone (619) 521-1743

739 Bryant St
San Francisco, CA 94107

2309 Noriega St
San Francisco, CA 94122
Phone (415) 305-8848

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (615) 478-6748

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1891162384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 NORIEGA ST STE 888",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224239",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5305 River Rd N Ste B",
            "address_purpose": "LOCATION",
            "city": "Keizer",
            "state": "OR",
            "postal_code": "973035324",
            "country_code": "US",
            "telephone_number": "843-474-5578",
            "fax_number": "843-790-1871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYER",
        "first_name": "CASANDRA",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002698",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95002698",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202109748",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95002698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASANDRA",
            "last_name": "MOYER",
            "prefix": "DR.",
            "credential": "DNP, FNP-BC, PNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.