Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Jacob Wayne Moss, M.D., J.D.

General Practice Physician in Saint Anthony, ID · enumerated 2013 · practices at Upper Valley Community Health Services Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205179751

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Registry record

Entity type Individual (Type 1)

Name Mr. Jacob Wayne Moss

Credential M.D., J.D.

Sex Male

Practice address 335 E Main St Ste 1, Saint Anthony, ID, 83445

Phone (208) 356-4900

Fax (208) 624-4116

Enumeration date Apr 3, 2013

Last updated in NPPES Oct 15, 2025

Taxonomy & licenses

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License M-14547 (ID) Primary

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License TM190 (GA) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1205179751 active?

Yes, as of the latest NPPES snapshot, NPI 1205179751 is active (record last updated 2025-10-15).

How do I verify Jacob Moss's NPI record?

Cross-check NPI 1205179751 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-15.