Michelle Nicole Moe-Aiken, M.D.
Individual provider Active NPI Vascular Surgery Physician · Keller, TX
NPI 1043672074 · NPPES record last updated Sep 10, 2025
Key facts
- NPI
- 1043672074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 31956 (MS)
- Practice address
- 1109 Jericho CT
Keller, TX 76262-9391 - Phone
- (817) 368-6236
- NPI assigned
- Mar 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Vascular Surgery
- Education
- University of Texas Southwestern Medical School at Dallas, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Deaconess Medical Group Inc
Practice addresses (Care Compare)
800 Hospital Dr
FL 1
Madisonville, KY 42431-1658
Phone (270) 326-3800
Hospital & facility affiliations
- Baptist Health Deaconess Madisonville
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.34 of 100
- Quality
- 96.39
- Improvement activities
- 40
- Cost
- 69.99
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231019003344 | MS | Practitioner - Vascular Surgery | 4284036237 | Reassigns benefits to 1 organization |
| I20250724000552 | KY | Practitioner - Vascular Surgery | 4284036237 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Current | Accepting new patients | |
| Advanced Vascular and Vein Associates, LLC | Vascular Surgery | Current |
Accepting new patients |
| Baptist Health Deaconess Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Current |
Accepting new patients |
Locations
800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900
800 Hospital Dr
Fl 1
Madisonville, KY 42431
Phone (270) 326-3800
778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620
4436 Mangum Dr
Flowood, MS 39232
Phone (601) 586-7070
830 S Gloster St
Fl 4
Tupelo, MS 38801
Phone (662) 377-7100
Interoperability endpoints
- michellemoe-aiken@nmhs.medalliesdirect.net
- mmoeaiken5277248@direct.casso.us.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 31956 | MS | Yes |
Addresses
Primary practice location
1109 Jericho CT
Keller, TX 76262-9391
Mailing address
1109 Jericho CT
Keller, TX 76262-9391
Phone (817) 368-6236
Other names
- Michelle Nicole Moe
Other providers in Keller, TX
- Mindwell Therapy
- Renee Miphouvieng
- Amy Lachelle Mitchell
- Mobile Therapy Now
- Mason Allan Modad
- Beverly Kay Moeller
- Moni Medical Group PLLC
- Robert John Montoya
- Amber Moon
- Brenda W. Moon
All providers in Keller, TX · Vascular Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.