Individual provider Active NPI

Ruth Ann Smith Moseley, NP

  • Gerontology Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1902774870
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1216117 Issued in TX
Practice address
1135 N Bishop Ave
Dallas, TX 75208-4114
Phone
(214) 942-3100
NPI assigned
Oct 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1216117 TX
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1216117 TX
Gerontology Nurse Practitioner 363LG0600X 1216117 TX Primary

Addresses

Primary practice location

1135 N Bishop Ave
Dallas, TX 75208-4114

Mailing address

805 Trail Ridge Cir
Combine, TX 75159-5437
Phone (214) 924-1849

Other names 1

  • Ruth Ann Smith Moseley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251205001785 TX Practitioner - Nurse Practitioner 4688768161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12377 Merit Dr
Suite 550
Dallas, TX 75251-3281

4810 B Spicewood Springs Rd
Austin, TX 78759-7838

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1216117TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stella Mattina Health Inc CurrentSince Oct 22, 2025 Accepting new patients
Stella Mattina Primary Care Inc PastSince Nov 10, 2024 Accepting new patients
North Dallas Internal Medicine PastSince Jun 1, 2001 Accepting new patients

Locations

811 W Interstate 20
Ste 212
Arlington, TX 76017
Phone (214) 942-3100

2959 S Buckner Blvd
Ste 700
Dallas, TX 75227
Phone (214) 206-4974

12377 Merit Dr
Ste 550
Dallas, TX 75251
Phone (214) 294-8989

1135 N Bishop Ave
Dallas, TX 75208
Phone (214) 388-8898

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, 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": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1902774870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 TRAIL RIDGE CIR",
            "city": "COMBINE",
            "state": "TX",
            "postal_code": "751595437",
            "telephone_number": "214-924-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 N BISHOP AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084114",
            "telephone_number": "214-942-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH MOSELEY",
        "first_name": "RUTH ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1216117",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "1216117",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1216117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH ANN",
            "last_name": "MOSELEY",
            "middle_name": "SMITH",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.