DAVIA GAELIN MOSS NP
NPI 1013469873
Nurse Practitioner - Family in Syracuse, NY

Active since October 27, 2016PECOS Enrolled
725 E ADAMS ST FL 4, SYRACUSE, NY 13210(315) 464-5831(314) 464-2030 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 25, 2023, Oct 27, 2016 (2 updates tracked since 2016).

About Davia Gaelin Moss Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVIA GAELIN MOSS NP (NPI 1013469873) is an individual family provider in Syracuse, New York, licensed in New York (F340815) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013469873
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDAVIA GAELIN MOSSCredential: NP
Location Address725 E ADAMS ST FL 4Syracuse, NY 13210-2576
Mailing Address725 E Adams St Fl 4Syracuse, NY 13210-2576 · Fax (314) 464-2030
Fax(314) 464-2030
Sole ProprietorNo
Enumeration DateOctober 27, 2016
Last NPPES UpdateOctober 13, 20252 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1013469873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F340815
Also ListedRegistered NurseTaxonomy 163W00000X · License 645775 (NY)
725 E ADAMS ST FL 4, Syracuse, NY 13210

Other Identifiers 1

Medicaid04635810NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Davia Gaelin Moss Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Davia Moss reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
750 EAST ADAMS STREET
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 271 clinicians in this Medicare group
Pediatrics
750 E. ADAMS ST., 5TH FLOOR
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 131 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
725 E ADAMS ST FL 4
SYRACUSE, NY 13210
Nurse Practitioner (Pediatrics)
725 E ADAMS ST FL 4
SYRACUSE, NY 13210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davia Moss's NPI number?

The NPI number for Davia Moss is 1013469873. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Where is Davia Moss located?

Davia Moss practices at 725 E Adams St Fl 4, Syracuse, NY 13210. The listed phone number is (315) 464-5831.

What is Davia Moss's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Davia Moss enrolled in Medicare?

Yes. Davia Moss is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Davia Moss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Davia Moss reassigns Medicare benefits to 2 organizations: Suny Health Science Center At Syracuse (Syracuse, NY) and Pediatric Service Group (Syracuse, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Davia Moss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Davia Moss was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.