GEORGE J MOUSSALLY (MSN,ACNP-BC,CCRN) – Acute Care Nurse Practitioner, NPI 1013261973

GEORGE J MOUSSALLY (MSN,ACNP-BC,CCRN) is a healthcare provider. based in Visalia, California. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN,ACNP-BC,CCRN. They hold a License No. 95001181 (CA). The NPI Number for GEORGE J MOUSSALLY (MSN,ACNP-BC,CCRN) is 1013261973

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
GEORGE J MOUSSALLY (MSN,ACNP-BC,CCRN)
NPI
1013261973
Phone
(602) 316-5944
Address
PO BOX 728
Enumeration Date
30 October 2012
Last Update Date
1 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2692267000
Graduation Year
2012 (14 years ago)
PAC ID
6507010600
Group Practice PAC ID
5395896849
Professional Enrollment ID
I20250908001803
Address ID
MI490481640KA1521XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

16,353 NURSE PRACTITIONER in CA

Provider Addresses for GEORGE J MOUSSALLY (MSN,ACNP-BC,CCRN)

  • PO BOX 728

    VISALIA, CA 932790728

    Phone: (602) 316-5944

    Type: Mailing

  • 400 W MINERAL KING AVE

    VISALIA, CA 932916237

    Phone: (559) 624-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170519002408INurse PractitionerINTBD
I20220420001167INurse PractitionerOHTBD
I20250908001803INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93279)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395896849View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineLA
Hospitalist, Internal MedicineOH
Nurse PractitionerMI
Physician AssistantMI
Nurse PractitionerMI
Internal Medicine, Hospitalist, Internal MedicineWA
Hospitalist, Internal MedicineMI
Internal MedicineUT
Physician AssistantOH
-MI

Reviews

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Frequently asked questions

Can I use this page to confirm GEORGE J MOUSSALLY (MSN,ACNP-BC,CCRN)'s NPI?
Yes. GEORGE J MOUSSALLY (MSN,ACNP-BC,CCRN) is listed with NPI 1013261973 in the public NPI dataset.
Is GEORGE J MOUSSALLY (MSN,ACNP-BC,CCRN) listed as active for patients and plans?
The listing shows GEORGE J MOUSSALLY (MSN,ACNP-BC,CCRN) as active in the NPI system.
What taxonomy line describes GEORGE J MOUSSALLY (MSN,ACNP-BC,CCRN)?
For research purposes, treat GEORGE J MOUSSALLY (MSN,ACNP-BC,CCRN) as Acute Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does GEORGE J MOUSSALLY (MSN,ACNP-BC,CCRN) list a practice location?
Patients near Visalia, California may find GEORGE J MOUSSALLY (MSN,ACNP-BC,CCRN) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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