Individual provider Active NPI

Julie A Moenter, P.A.

  • Medical Physician Assistant
  • Van Wert, OH
National Provider Identifier
1023444965
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50003909 Issued in OH
Practice address
1178 Professional Dr
Van Wert, OH 45891-2461
Phone
(419) 238-6251
Fax
(419) 238-1652
NPI assigned
Sep 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50003909 OH Primary

Addresses

Primary practice location

1178 Professional Dr
Van Wert, OH 45891-2461

Mailing address

1178 Professional Dr
Van Wert, OH 45891-2461
Phone (419) 238-6251

Other identifiers 1

IdentifierTypeStateIssuer
341380522OtherOHTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131028000312 OH Practitioner - Physician Assistant 8527293646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Terrence L Johnson and Robert C Adams PTRGroup PAC ID 1850299868, 7 clinicians

Practice addresses (Care Compare)

1178 Professional Dr
Van Wert, OH 45891-2461
Phone (419) 238-6251

Hospital & facility affiliations

  • Fountain Park Home Care, LLC Home health agency, Van Wert, OH, CCN 368142
  • Van Wert County Hospital Hospital, Van Wert, OH, CCN 360071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50003909OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: juliemoenter@vanwfamphy.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1023444965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 PROFESSIONAL DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912461",
            "telephone_number": "419-238-6251",
            "fax_number": "419-238-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 PROFESSIONAL DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912461",
            "telephone_number": "419-238-6251",
            "fax_number": "419-238-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOENTER",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50003909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "341380522",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

Verify at the official NPI Registry.