MRS. ERICA 'COURTNEY' MOSS ANP NPI 1548492945

Nurse Practitioner (Family) in Clarendon, AR

NPI 1548492945 Individual Female Years of Experience 13 Nurse Practitioner Family PECOS Enrolled Accepts Medicare Approved Payment

About ERICA MOSS

Erica Moss is a provider established in Clarendon, Arkansas and her medical specialization is nurse practitioner (family) with more than 13 years of experience. The NPI number of Erica Moss is 1548492945 and was assigned on August 2009. The practitioner's primary taxonomy code is 363LF0000X with license number A03285 (AR). The provider is registered as an individual and her NPI record was last updated 7 years ago.

A nurse practitioner (NP) like Mrs. Erica 'courtney' Moss Anp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Erica Moss is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Erica Moss is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Baptist Health Medical Center-stuttgart.

NPI

1548492945

Provider NameMRS. ERICA 'COURTNEY' MOSS ANP
Provider Location Address245 MADISON ST CLARENDON, AR 72029
Provider Mailing Address245 MADISON ST CLARENDON, AR 72029
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2009
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-18-2009
Last Update Date07-17-2014


Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.A03285
License StateAR

Business Address

MRS. ERICA 'COURTNEY' MOSS ANP
245 MADISON ST
CLARENDON, AR
ZIP 72029
Phone: (870) 747-3811

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Mailing Address

MRS. ERICA 'COURTNEY' MOSS ANP
245 MADISON ST
CLARENDON, AR
ZIP 72029
Phone: (870) 747-3811



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2860615473
PECOS Enrollment IDI20140529002030
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Erica Moss is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BAPTIST HEALTH MEDICAL CENTER-STUTTGART1703 NORTH BUERKLE ST
STUTTGART, AR 72160
(870) 673-3511Acute Care Hospitals40072

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
199750758MEDICAID (05)AR
A003285OTHER (01)AR

Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871537084DR. RICHARD ROYCE WILSON M.D.
Individual
Family Medicine245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1245379528 CURTIS ANDREW SCHALCHLIN M.D.
Individual
General Practice245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1811174238DR. SAM A. MCGUIRE III M.D.
Individual
Family Medicine245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1164897823MRS. ASHLEY LANIECE LOFTIS PA-C
Individual
Physician Assistant (Medical)245 MADISON ST
CLARENDON, AR 72029
(870) 747-3008
1497249031 THOMAS P PATTEN DDS
Individual
Dentist (General Practice)245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1649320607DR. JENNIFER JOHNSON KELLY M.D.
Individual
Pediatrics245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1689940132 ARPIT R PATEL M.D.
Individual
Family Medicine245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1306297965 ASHLEE VANHOUTEN APRN
Individual
Nurse Practitioner245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1255346060MID-DELTA HEALTH SYSTEMS INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1629287875MID-DELTA HEALTH SYSTEMS, INC
Organization
Clinic/Center (Dental)245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1194293928 CHRISTOPHER P. HOPKINSON MD
Individual
Family Medicine245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1457956625MRS. SUMMER N PATTON RDN, LDN
Individual
Dietitian, Registered245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381
1841969169MID-DELTA HEALTH SYSTEMS INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))245 MADISON ST
CLARENDON, AR 72029
(870) 747-3381

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.