SAMUEL MOSES NURSE PRACTITIONER
NPI 1366170375
Nurse Practitioner - Psychiatric/Mental Health in Federal Way, WA

Q: What is Samuel Moses's NPI number?

The NPI number for Samuel Moses is 1366170375. It was assigned to this individual provider in the NPPES registry on August 9, 2022.

Q: What is Samuel Moses's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Moses was last updated on January 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 09, 2022PECOS EnrolledAccepts Medicare Assignment

31405 18TH AVE S, FEDERAL WAY, WA 98003(253) 681-6640 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Samuel Moses Nurse Practitioner NPPES

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

SAMUEL MOSES NURSE PRACTITIONER (NPI 1366170375) is an individual psychiatric/mental health provider in Federal Way, Washington, licensed in Washington (AP61335567) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366170375

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameSAMUEL MOSESCredential: NURSE PRACTITIONER

Location Address31405 18TH AVE SFederal Way, WA 98003-5433

Mailing Address31405 18th Ave SFederal Way, WA 98003-5433 · (817) 805-6673

Phone(253) 681-6640

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 9, 2022

Last NPPES UpdateJanuary 26, 2024

NPPES CertifiedJanuary 26, 2024

✔ NPI 1366170375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · AP61335567

31405 18TH AVE S, Federal Way, WA 98003

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Other Names 1

Professional Name (2)Samuel Masila Moses Nurse Practitioner

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Moses Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759745797

PECOS Enrollment IDI20230911000735

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98003 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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 20

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

JANE DAVIS PT

Physical Therapist