Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Mossman, NP-C

Individual provider Family Nurse Practitioner · NPI 1053761890

Andrew Mossman, NP-C is a Nurse Practitioner in Shaker Heights, Ohio. Qualified in 2016, 10 years ago. Practices with Boulder Care Provider Group PA, a 109-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina, Ohio and Oregon.

Years since qualifying
10
Licensed in
NC, OH, OR
In the registry since
2016
Specialties on file
5
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

20046 Walker Rd Ste 7
Shaker Heights, OH 44122-3645
Phone: (888) 288-4715
Fax: (833) 260-2594
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 106 Langtree Village Dr Ste 301, Mooresville, NC 28117-7594 — (888) 288-4715
  • 111 Sw Naito Pkwy Ste 200, Portland, OR 97204-3512 — (888) 288-4715

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN.CNP.025844 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5008610 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10019107 (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.025844 (OH)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 10019107 (OR)

Record details

NPI number1053761890
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJune 13, 2016
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Boulder Care Provider Group Pa — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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