NPI age
13 years
Enumerated 2013-04-03
● Active
Type 1 · Individual
MR. Jacob Wayne Moss, M.D., J.D.
Moss is 1 of 2 general practice providers in Saint Anthony and 1 of 75 in Idaho.
Primary specialty
General Practice
Plus 1 subspecialty
Licensed in
ID, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-10-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 75 active general practice providers in Idaho.
NPI age
13 years
≈ at median (13 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-04Enumerated in NPPES
2013
2026
Where they practice
Practice location
335 E Main St Ste 1
Saint Anthony, ID 834451546
Mailing address
Po Box 18
Saint Anthony, ID 834450018
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
3724 Woodking Dr Ste 1
Idaho Falls, ID 83404
Location 3
72 S 1st E Ste 101
Rexburg, ID 834401902
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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