ANDREA JENAE MOSS
NPI 1720489107
Speech-Language Pathologist in Salt Lake City, UT
About Andrea Jenae Moss NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA JENAE MOSS (NPI 1720489107) is an individual speech-language pathologist provider in Salt Lake City, Utah, licensed in Utah (9066300-4104) and active in the NPI registry since September 2014. She is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Andrea Jenae Moss 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.
Medicare Billing Reassignment
Medicare enrollment records show Andrea Moss reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Holland, MI 49423
- Reassigned Medicare billing, Michigan enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Andrea Moss's NPI number?
The NPI number for Andrea Moss is 1720489107. It was assigned to this individual provider in the NPPES registry on September 4, 2014.
Where is Andrea Moss located?
Andrea Moss practices at 433 E 2700 S, Salt Lake City, UT 84115. The listed phone number is (313) 671-4985.
What is Andrea Moss's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Andrea Moss enrolled in Medicare?
Yes. Andrea Moss is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Andrea Moss's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Moss reassigns Medicare benefits to Empowerme Rehabilitation Illinois, LLC (Holland, MI). The 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 Andrea Moss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrea Moss accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Andrea Moss 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 Andrea Moss was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Andrea Jenae Moss · NPI 1720489107
Speech-Language Pathologist provider in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since September 4, 2014.
## Identity
- **NPI:** 1720489107 (Entity type: Individual)
- **Enumerated:** September 4, 2014
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 9066300-4104 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 433 E 2700 S, Salt Lake City, UT 84115-3325
- **Phone:** (313) 671-4985
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Empowerme Rehabilitation Illinois, LLC (NPI 1548865876, Holland, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** February 8, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1720489107) · Data from the CMS NPPES public registry.