MOSCOW FAMILY MEDICAL,LLC
NPI 1548828304
Nurse Practitioner - Family in Moscow, TN
About Moscow Family Medical,llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOSCOW FAMILY MEDICAL,LLC (NPI 1548828304) is a healthcare organization registered as a family in Moscow, Tennessee and active in the NPI registry since June 2019. The organization lists Zelma Allen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Moscow Family Medical,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Moscow Family Medical,llc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Moscow Family Medical,llc's NPI number?
The NPI number for Moscow Family Medical,llc is 1548828304. It was assigned to this organization in the NPPES registry on June 5, 2019.
Where is Moscow Family Medical,llc located?
Moscow Family Medical,llc is located at 13775 Highway 57 Ste 4, Moscow, TN 38057. The listed phone number is (901) 877-3070.
What is Moscow Family Medical,llc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Moscow Family Medical,llc enrolled in Medicare?
Yes. Moscow Family Medical,llc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Moscow Family Medical,llc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Moscow Family Medical,llc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Moscow Family Medical,llc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Moscow Family Medical,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 Moscow Family Medical,llc was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Moscow Family Medical,llc · NPI 1548828304
Family organization in Moscow, Tennessee. Organization record, active in the CMS NPPES registry since June 5, 2019.
## Identity
- **NPI:** 1548828304 (Entity type: Organization)
- **Enumerated:** June 5, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Zelma Allen, OWNER
## Practice location
- **Address:** 13775 HIGHWAY 57 STE 4, Moscow, TN 38057-3802
- **Phone:** (901) 877-3070
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1548828304) · Data from the CMS NPPES public registry.