1. Home
  2. Directory
  3. California
  4. Grass Valley
  5. Nurse Practitioner
  6. NPI Profile

MOEMI GOSSAL
NPI 1548997968
Nurse Practitioner - Adult Health in Grass Valley, CA

Active since August 05, 2022PECOS Enrolled
844 OLD TUNNEL RD, GRASS VALLEY, CA 95945(530) 274-9762 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Moemi Gossal NPPES

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

MOEMI GOSSAL (NPI 1548997968) is an individual adult health provider in Grass Valley, California, licensed in California (95021962) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548997968
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMOEMI GOSSAL
Location Address844 OLD TUNNEL RDGrass Valley, CA 95945-8524
Mailing Address2 Koret WaySan Francisco, CA 94143-2218
Phone(530) 274-9762
Sole ProprietorNo
Enumeration DateAugust 5, 2022
NPPES CertifiedAugust 5, 2022
✔ NPI 1548997968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 95021962
844 OLD TUNNEL RD, Grass Valley, CA 95945
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moemi Gossal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Moemi Gossal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elica Health Centers
43 mi
Federally Qualified Health Center (FQHC)
5708 WATT AVENUE
North Highlands, CA 95660
  • Reassigned Medicare billing, California enrollment
  • 91 clinicians in this Medicare group
NPI 1851893077 (916) 454-2345
County Of Sacramento
53 mi
Federally Qualified Health Center (FQHC)
4600 BROADWAY, SUITE 1100
Sacramento, CA 95820
  • Reassigned Medicare billing, California enrollment
  • 135 clinicians in this Medicare group
NPI 1366513061 (916) 874-9670

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95945 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

ANDREA GEKAS CNM, WHNP
Registered Nurse (Women's Health Care, Ambulatory)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 273-4984
ASHLEY MICHELLE CHURCH PA-C
Physician Assistant (Medical)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 274-9762
STACIE LA JEUNESSE CPNP
Nurse Practitioner (Pediatrics)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 274-9762
WESTERN SIERRA MEDICAL CLINIC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 273-4984
CLINIC PHARMACIES III LLC
Pharmacy (Community/Retail Pharmacy)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 273-0182
HAVILYN MICHELE HARRAR PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 274-9762
MS. KATELYN MARIE FERNANDEZ PA-C, RD
Physician Assistant
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 274-9762
MORGAN DEE NETTLES STEWART WHNP
Nurse Practitioner (Women's Health)
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945
Nevada County (530) 273-4984

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 Moemi Gossal's NPI number?

The NPI number for Moemi Gossal is 1548997968. It was assigned to this individual provider in the NPPES registry on August 5, 2022.

Where is Moemi Gossal located?

Moemi Gossal practices at 844 Old Tunnel Rd, Grass Valley, CA 95945. The listed phone number is (530) 274-9762.

What is Moemi Gossal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Moemi Gossal enrolled in Medicare?

Yes. Moemi Gossal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Moemi Gossal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Moemi Gossal reassigns Medicare benefits to 2 organizations: Elica Health Centers (North Highlands, CA) and County Of Sacramento (Sacramento, CA). Each 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 Moemi Gossal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Moemi Gossal was last updated on August 5, 2022. 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.