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

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.

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
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

Other Names 1

Professional Name (2)Samuel Masila Moses Nurse Practitioner

Accepted 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.

Physical Therapist
31405 18TH AVE S
FEDERAL WAY, WA 98003
Clinic/Center (Federally Qualified Health Center (FQHC))
31405 18TH AVE S
FEDERAL WAY, WA 98003
Social Worker (Clinical)
31405 18TH AVE S
FEDERAL WAY, WA 98003
Marriage & Family Therapist
31405 18TH AVE S
FEDERAL WAY, WA 98003
Social Worker
31405 18TH AVE S
FEDERAL WAY, WA 98003
Counselor
31405 18TH AVE S
FEDERAL WAY, WA 98003
Counselor (Mental Health)
31405 18TH AVE S
FEDERAL WAY, WA 98003
Counselor
31405 18TH AVE S
FEDERAL WAY, WA 98003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366170375, enumerated as an "individual" on August 09, 2022.

The provider is located at 31405 18TH AVE S FEDERAL WAY, WA 98003 and the phone number is (253) 681-6640.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.