MOSS STREET KID MED LLC
NPI 1336268184
Clinic/Center in Lafayette, LA
About Moss Street Kid Med Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOSS STREET KID MED LLC (NPI 1336268184) is a healthcare organization registered as a clinic/center in Lafayette, Louisiana and active in the NPI registry since March 2007. The organization lists Desiree P Richard, Onwer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Moss Street Kid Med Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Moss Street Kid Med LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Lafayette, LA 70508
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Moss Street Kid Med LLC's NPI number?
The NPI number for Moss Street Kid Med LLC is 1336268184. It was assigned to this organization in the NPPES registry on March 29, 2007.
Where is Moss Street Kid Med LLC located?
Moss Street Kid Med LLC is located at 1417A Moss Street, Lafayette, LA 70501. The listed phone number is (337) 291-2411.
What is Moss Street Kid Med LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Moss Street Kid Med LLC enrolled in Medicare?
Yes. Moss Street Kid Med LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Moss Street Kid Med LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Moss Street Kid Med LLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Moss Street Kid Med LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 1 other insurer list Moss Street Kid Med LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Moss Street Kid Med LLC was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Moss Street Kid Med Llc · NPI 1336268184
Clinic/Center organization in Lafayette, Louisiana. Organization record, active in the CMS NPPES registry since March 29, 2007.
## Identity
- **NPI:** 1336268184 (Entity type: Organization)
- **Enumerated:** March 29, 2007
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Desiree Richard, ONWER
## Practice location
- **Address:** 1417A MOSS STREET, Lafayette, LA 70501
- **Phone:** (337) 291-2411 · **Fax:** (337) 291-2412
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2025
- **Other identifiers:** Medicaid 1949221 (LA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1336268184) · Data from the CMS NPPES public registry.