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NICHOLE V MOSER PA
NPI 1396415675
Physician Assistant - Medical in Oklahoma City, OK

Active since September 17, 2021
5100 N BROOKLINE AVE STE 465, OKLAHOMA CITY, OK 73112(405) 917-5336(405) 917-2250 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nichole V Moser Pa NPPES

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

NICHOLE V MOSER PA (NPI 1396415675) is an individual medical provider in Oklahoma City, Oklahoma, licensed in Oklahoma (4474) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1396415675
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICHOLE V MOSERCredential: PA
Location Address5100 N BROOKLINE AVE STE 465Oklahoma City, OK 73112-3625
Mailing Address5100 N Brookline Ave Ste 465Oklahoma City, OK 73112-3625 · (405) 917-5336 · Fax (405) 917-2250
Phone(405) 917-5336
Fax(405) 917-2250
Sole ProprietorYes
Enumeration DateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1396415675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OK · 4474
5100 N BROOKLINE AVE STE 465, Oklahoma City, OK 73112
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

ELLIS CLINIC, P.C.
Clinic/Center (Occupational Medicine)
5100 N BROOKLINE AVE STE 465
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 917-5336
DR. JOHN WESLEY ELLIS M.D.
Family Medicine
5100 N BROOKLINE AVE STE 465
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 917-5336

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 Nichole Moser's NPI number?

The NPI number for Nichole Moser is 1396415675. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Where is Nichole Moser located?

Nichole Moser practices at 5100 N Brookline Ave Ste 465, Oklahoma City, OK 73112. The listed phone number is (405) 917-5336.

What is Nichole Moser's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Nichole Moser was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.