Active NPI
Michelle Nicole Moe-Aiken, M.D.
- Vascular Surgery Physician
- Keller, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 31956
- Practice address
- 1109 Jericho CT
Keller, TX 76262-9391 - Phone
- (817) 368-6236
- NPI assigned
- Mar 29, 2016
- Last updated
- Sep 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 31956 | MS | Primary |
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 1
- Michelle Nicole Moe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- 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
Practice addresses (Care Compare)
800 Hospital Dr
FL 1
Madisonville, KY 42431-1658
Phone (270) 326-3800
Hospital & facility affiliations
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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Deaconess Medical Group Inc | Current | Accepting new patients | |
| Advanced Vascular and Vein Associates, LLC | Vascular Surgery | Current | Accepting new patients |
| North Mississippi Medical Center | 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 1
Madisonville, KY 42431
Phone (270) 326-3800
800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900
4436 Mangum Dr
Flowood, MS 39232
Phone (601) 586-7070
778 Liberty Rd
Flowood, MS 39232
Phone (601) 326-1794
830 S Gloster St
Fl 4
Tupelo, MS 38801
Phone (662) 377-7100
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- michellemoe-aiken@nmhs.medalliesdirect.net
- mmoeaiken5277248@direct.casso.us.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Madisonville, KY
- NPI 1437730942
-
- Multi-Specialty Clinic/Center
- Flowood, MS
- NPI 1275205809
Vascular Surgery
-
- Rural Health Clinic/Center
- Hopkinsville, KY
- NPI 1184205643
-
dba Baptist Health Deaconess Madisonville Hospital Based Providers
- Hospitalist Physician
- Madisonville, KY
- NPI 1972320430
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Deaconess Madisonville
- Rural Acute Care Hospital
- Madisonville, KY
- NPI 1447231956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1043672074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 JERICHO CT",
"city": "KELLER",
"state": "TX",
"postal_code": "762629391",
"telephone_number": "817-368-6236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 JERICHO CT",
"city": "KELLER",
"state": "TX",
"postal_code": "762629391",
"telephone_number": "817-368-6236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOE-AIKEN",
"first_name": "MICHELLE",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-29",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MS",
"license": "31956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "MOE",
"middle_name": "NICOLE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.