Mir M Moshref

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2024040610 Issued in MO

Practice address

10415 N Helena Ave
Kansas City, MO 64154-1809

Phone

(773) 368-5071

NPI assigned

Nov 27, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Impact Physician Group, Missouri, LLC

  • Internal Medicine Physician
  • Bridgeton, MO
  • NPI 1962971531
  NPD (past)

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1922824606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 N HELENA AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541809",
            "telephone_number": "773-368-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 N HELENA AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541809",
            "telephone_number": "773-368-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHREF",
        "first_name": "MIR",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024040610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nichelle Mosby, RBT
• Teresa N/a Moscovich, MD
• Mariah Moseley
• Christine Moser, PSYD
• Mary Moser, CMF
• Jaclyn K Moss, APRN
• Jason Freeman Moss, DC
• Shannon Moss, LPC
• Marit Moster, MD
• Alex Heydar Motaref, DMD

• Family Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.