BRANDI LEE MOSS NP
NPI 1922725746
Nurse Practitioner - Family in Malad City, ID
About Brandi Lee Moss Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDI LEE MOSS NP (NPI 1922725746) is an individual family provider in Malad City, Idaho, licensed in Idaho (5061676) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of Other (2024).
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 (PECOS)
Brandi Lee Moss Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brandi Moss reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Malad City, ID 83252
- Reassigned Medicare billing, Idaho enrollment
- Also billed through NPI 1609826270 (Idaho)
- 11 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Portneuf Medical Center
Acute Care Hospitals · Pocatello, IDNell J Redfield Memorial Hospital
Critical Access Hospitals · Malad, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83252 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
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 Brandi Moss's NPI number?
The NPI number for Brandi Moss is 1922725746. It was assigned to this individual provider in the NPPES registry on October 24, 2022.
Where is Brandi Moss located?
Brandi Moss practices at 220 Bannock St, Malad City, ID 83252. The listed phone number is (208) 766-2600.
What is Brandi Moss's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Brandi Moss enrolled in Medicare?
Yes. Brandi Moss is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brandi Moss's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandi Moss reassigns Medicare benefits to Oneida County Hospital (Malad City, ID). 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 Brandi Moss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brandi Moss accept?
Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health and 1 other insurer list Brandi 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.
Is Brandi Moss affiliated with any hospitals?
According to CMS data, Brandi Moss is affiliated with Portneuf Medical Center and Nell J Redfield Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Brandi Moss was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Brandi Lee Moss, NP · NPI 1922725746
Family physician in Malad City, Idaho. Individual provider, active in the CMS NPPES registry since October 24, 2022.
## Identity
- **NPI:** 1922725746 (Entity type: Individual)
- **Enumerated:** October 24, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5061676 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 220 BANNOCK ST, Malad City, ID 83252-5068
- **Phone:** (208) 766-2600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Oneida County Hospital (NPI 1225276454, Malad City, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1922725746) · Data from the CMS NPPES public registry.