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Deactivated NPI 1043207756 Deactivated / Inactive NPI Female Practitioner

Meredith A Moss , PA-C

Physician Assistant • Tucson, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Meredith Moss has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 29, 2005
NPI Deactivation Date July 23, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Meredith Moss, PA-C was a registered Physician Assistant practicing in Tucson, AZ. Throughout an active medical career spanning 21 years, Meredith Moss provided care at the practice location at 2802 N ALVERNON WAY STE 200 until profile deactivation on 2026-07-23.

Historical Medicare Part B clinical services included subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, nursing facility annual assessment, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2802 N Alvernon Way Ste 200

Tucson, AZ 857121500

Telephone 5203260850
Fax 5203260849
Associated Practice Facility / Clinic
🏢 Banyan Integrative Health Llc Facility NPI 1992262810

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tucson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
292 Specialists

Practicing in Tucson, AZ (3711 Statewide)

Telehealth Adoption Rate
10.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
6.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
14 14 $93.46 $87.11

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NM PA2008-0068

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1134307903

Doctor of Medicine (M.D.), Master of Public Health

Dr. Jessie Pettit , MD

Family Medicine

NPI 1821232216

Doctor of Medicine (M.D.)

Dr. Evan Kligman , MD PC

Family Medicine - Geriatric Medicine

NPI 1942233689

MDPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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NPI Profile Deactivated July 23, 2026

Record deactivated on July 23, 2026

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2026

Physician Assistant (License #PA880 in KY)

NPI Profile Active January 18, 2017

NPI status registered as active in NPPES database

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Updated Business Mailing Address January 18, 2017

Registered at 1600 E 32ND ST, SILVER CITY, NM 880617287 (Tel: 5755382981)

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Updated Practice Location January 18, 2017

Registered at 2802 N ALVERNON WAY STE 200, TUCSON, AZ 857121500 (Tel: 5203260850)

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Provider Name / Credentials Updated January 18, 2017

Recorded as MEREDITH MOSS, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2017

Physician Assistant (License #PA880 in KY)

NPI Profile Active July 01, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 01, 2015

Registered at 2802 N ALVERNON WAY STE 200, TUCSON, AZ 857121500 (Tel: 5203260850)

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Updated Business Mailing Address July 01, 2015

Registered at 10278 S WHITE SURREY DR, VAIL, AZ 856415942 (Tel: 5058197968)

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Provider Name / Credentials Updated July 01, 2015

Recorded as MEREDITH MOSS, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2015

Physician Assistant (License #PA2008-0068 in NM)

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Initial NPI Registration & Enumeration September 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043207756
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2005
Last Update: July 01, 2015
Deactivation Date: July 23, 2026

Mailing Address

10278 S White Surrey Dr

Vail, AZ 856415942

Phone: 5058197968

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.