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

Q: 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.

Q: What is Moemi Gossal's specialty?

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

Q: 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.

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: August 16, 2026.

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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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)