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

Derrick Moss, ATC

Individual provider Athletic Trainer · NPI 1932598455

Derrick Moss, ATC is a Physician Assistant in Orange City, Iowa. Qualified in 2022, 4 years ago. Practices with Cnos PC, a 98-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
4
Licensed in
IA
In the registry since
2015
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

208 8th St SW
Orange City, IA 51041-9022
Phone: (712) 707-7287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Athletic Trainer Taxonomy 2255A2300X · Licence 001063 (IA)

Record details

NPI number1932598455
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJanuary 21, 2015
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022
Mailing address508 Zuider Zee Dr Se, Orange City, IA 51041-1764

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cnos Pc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Orange City