Kameron David Mosher
Individual provider Active NPI Family Nurse Practitioner · Greenwich, NY
NPI 1972394914 · NPPES record last updated Jul 14, 2025
Key facts
- NPI
- 1972394914
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 357020 (NY)
- Practice address
- 1134 State Route 29
Greenwich Medical Center
Greenwich, NY 12834 - Phone
- (518) 692-9861
- Fax
- (518) 692-7947
- NPI assigned
- May 16, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 24
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Glens Falls Hospital Inc
Practice addresses (Care Compare)
1134 State Route 29
Greenwich, NY 12834-6107
Phone (518) 692-9861
Hospital & facility affiliations
- Glens Falls Hospital
- Saratoga Hospital
- Albany Medical Center Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251003000462 | NY | Practitioner - Nurse Practitioner | 0143726661 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 357020 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glens Falls Hospital Inc. | Current |
Accepting new patients | |
| Glens Falls Hospital Inc | Current |
Accepting new patients |
Locations
100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924
79 North St
Granville, NY 12832
Phone (518) 642-0612
1134 State Route 29
Greenwich, NY 12834
Phone (518) 692-9861
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Nurse Practitioner | 363LF0000X | 357020 | NY | Yes |
Addresses
Primary practice location
1134 State Route 29
Greenwich Medical Center
Greenwich, NY 12834
Mailing address
100 Park Street
Glens Falls Hospital-Credentialing
Glens Falls, NY 12801
Phone (518) 926-6992
Other providers in Greenwich, NY
- Kelli Catherine Lyndaker
- Mackenzie Marci
- Martins Foods of South Burlington LLC
- Megan Lynch Mayo
- Marc John Mercurio
- Rebecca Niles
- North Country Physical Therapy, PC
- North Country Sports Medicine PPLC
- Darlene A O'Dell
- Old Saratoga Optometry & Ophthalmic Dispensing, PLLC
All providers in Greenwich, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.