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Deactivated NPI 1790841476 Deactivated / Inactive NPI Male Practitioner

John N. Moss , PA

Physician Assistant • Olympia, WA

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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, John Moss has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 28, 2006
NPI Deactivation Date August 28, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

John Moss, PA was a registered Physician Assistant practicing in Olympia, WA. Throughout an active medical career spanning 19 years, John Moss provided care at the practice location at 700 LILLY RD NE until profile deactivation on 2025-08-28.

Practice Location & Contact Primary Location

Practice Address

700 Lilly Rd Ne

Olympia, WA 985065115

Telephone 3609237000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
112 Specialists

Practicing in Olympia, WA (3774 Statewide)

Telehealth Adoption Rate
11.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10000048

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

40 Associated Practitioners
Dr. Amihan Ferrer , MD

Family Medicine

NPI 1003942558

Doctor of Medicine (M.D.)

David Remis

Dermatology

NPI 1003969783
Dr. Michael Balfe , MD

Family Medicine

NPI 1003970021

Doctor of Medicine (M.D.)

Stacy Dell

Counselor - Mental Health

NPI 1013068873
Dr. Gordon Wheat , MD

Family Medicine

NPI 1013074699

Doctor of Medicine (M.D.)

Dr. Monique Semien , MD

Internal Medicine - Hematology & Oncology

NPI 1013095660

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 28, 2025

Record deactivated on August 28, 2025

NPI Profile Active May 08, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 08, 2008

Registered at 700 LILLY RD NE, OLYMPIA, WA 985065115 (Tel: 3609237000)

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Updated Business Mailing Address May 08, 2008

Registered at PO BOX 34584, SEATTLE, WA 981241584 (Tel: 5092417349)

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Provider Name / Credentials Updated May 08, 2008

Recorded as JOHN MOSS, P.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2008

Physician Assistant (License #PA10000048 in WA)

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Initial NPI Registration & Enumeration December 28, 2006

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: 1790841476
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: May 08, 2008
Deactivation Date: August 28, 2025

Mailing Address

Po Box 34584

Seattle, WA 981241584

Phone: 5092417349

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.