Individual provider Active NPI

Jessica Mosley, FNP

  • Nurse Practitioner
  • Livingston, AL
National Provider Identifier
1962867127
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-132217 Issued in AL
Practice address
1221 N Washington St
Livingston, AL 35470-5410
Phone
(205) 652-9575
Fax
(205) 652-7979
NPI assigned
Dec 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-132217 AL
Nurse Practitioner 363L00000X 1-132217 AL Primary

Addresses

Primary practice location

1221 N Washington St
Livingston, AL 35470-5410

Mailing address

PO Box 5392
Meridian, MS 39302-5392
Phone (601) 213-3010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 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
I20160426000377 AL Practitioner - Nurse Practitioner 6305145392 Reassigns benefits to 1 organization
I20250310000054 MS Practitioner - Nurse Practitioner 6305145392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kemper Cah, Inc.Group PAC ID 5991985012, 28 clinicians

Practice addresses (Care Compare)

1221 N Washington St
Livingston, AL 35470-5410
Phone (205) 652-9575

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Medical Foundation Current Accepting new patients
Kemper Cah, Inc CurrentSince Mar 3, 2016 Accepting new patients
Kemper, Cah, Inc CurrentSince Mar 3, 2016 Accepting new patients
Rush Medical Foundation CurrentSince Jan 9, 2025 Accepting new patients
Rush Medical Foundation CurrentSince Jan 9, 2025 Accepting new patients

Locations

1221 N Washington St
Livingston, AL 35470
Phone (205) 652-7680

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123

Organizations & group practices 5

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": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1962867127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5392",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393025392",
            "telephone_number": "601-213-3010",
            "fax_number": "601-213-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N WASHINGTON ST",
            "city": "LIVINGSTON",
            "state": "AL",
            "postal_code": "354705410",
            "telephone_number": "205-652-9575",
            "fax_number": "205-652-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-132217",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-132217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, AL

Sources for this page

Verify at the official NPI Registry.