MRS. KAMESHA DEES MOULTRY CRNP
NPI 1649727850
Nurse Practitioner - Family in Ozark, AL

Q: What is Kamesha Moultry's NPI number?

The NPI number for Kamesha Moultry is 1649727850. It was assigned to this individual provider in the NPPES registry on September 6, 2016.

Q: What is Kamesha Moultry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kamesha Moultry was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 06, 2016PECOS EnrolledAccepts Medicare Assignment

1970 ANDREWS AVE, OZARK, AL 36360(334) 774-1555 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 23, 2021, Jul 8, 2021 (2 updates tracked since 2021).

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About Mrs. Kamesha Dees Moultry Crnp NPPES

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

MRS. KAMESHA DEES MOULTRY CRNP (NPI 1649727850) is an individual family provider in Ozark, Alabama, licensed in Alabama (1-101408) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dothan, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1649727850

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KAMESHA DEES MOULTRYCredential: CRNP

Location Address1970 ANDREWS AVEOzark, AL 36360-3726

Mailing Address2812 Hartford Hwy Ste 1Dothan, AL 36305-4927 · (334) 712-1170

Phone(334) 774-1555

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 6, 2016

Last NPPES UpdateJuly 23, 20212 updates tracked since enumeration

NPPES CertifiedJuly 23, 2021

✔ NPI 1649727850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AL · 1-101408

1970 ANDREWS AVE, Ozark, AL 36360

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Secondary Practice Location 1

Location 12812 Hartford Hwy Ste 1Dothan, AL 36305-4927 · Phone (334) 712-1170 · Fax (334) 460-8391

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kamesha Dees Moultry Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557766086

PECOS Enrollment IDI20210823000872

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

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

East Central Mental Health Mental Retardation, Inc.

31 mi

Mental Health (Including Community Mental Health Center)

200 CHERRY ST
Troy, AL 36081

Reassigned Medicare billing, Alabama enrollment
5 clinicians in this Medicare group

NPI 1285717413 (334) 566-6022

Southern Np Associates, LLC

166 mi

Adult Health

931 FAIRFAX PARK
Tuscaloosa, AL 35406

Reassigned Medicare billing, Alabama enrollment
69 clinicians in this Medicare group

NPI 1407257447 (205) 391-3600

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

198 services53 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

75 services26 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

68 services30 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

49 services26 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

19 services14 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36360 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$68.39 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIJ LLC

Pharmacy (Community/Retail Pharmacy)