KHAMPHOU MANIVANH MOSLEY FNP-BC NPI 1093205049

NPI Information

  • NPI: 1093205049
  • Provider Name: KHAMPHOU MANIVANH MOSLEY, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1100 N PARROTT AVE
    OKEECHOBEE, FL
    ZIP 34972
  • Phone: (863) 763-7481

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NPI Details

Khamphou Manivanh Mosley, FNP-BC is a family nurse practitioner in Okeechobee, FL with 8 years of experience. Khamphou Manivanh Mosley, FNP-BC NPI is 1093205049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1100 N PARROTT AVE
OKEECHOBEE, FL
ZIP 34972-129
Phone: (863) 763-7481
Fax: (844) 542-4899

The NPI 1093205049 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Hemoglobin a1c level (HCPCS:83036)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 5/15/2018 and was last updated on 6/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner21726SOUTH CAROLINANo
2363L00000XNurse Practitioner5010768NORTH CAROLINANo
3363LF0000XNurse PractitionerFamilyAPRN11002153FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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