Active NPI
Suzanne A Moseley, PHD
- Clinical Neuropsychologist
- Roseville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 6551
- Practice address
- 2720 Fairview Ave N Ste 100
Roseville, MN 55113-1306 - Phone
- (651) 241-5290
- NPI assigned
- Jun 16, 2020
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 6551 | MN | Primary |
Addresses
Primary practice location
2720 Fairview Ave N Ste 100
Roseville, MN 55113-1306
Mailing address
2720 Fairview Ave N Ste 100
Roseville, MN 55113-1306
Phone (651) 241-5290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2720 Fairview Ave N
Suite 100
Roseville, MN 55113-1306
Phone (651) 241-5290
Hospital & facility affiliations
- Abbott Northwestern Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Epilepsy Group PA | Current | Accepting new patients |
Locations
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
225 Smith Ave N
Ste 201
Saint Paul, MN 55102
Phone (651) 241-5290
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
2720 Fairview Ave N
#100
Saint Paul, MN 55113
Phone (651) 241-5290
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFDABA
Organizations & group practices 1
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.
-
- Neurology Physician
- Roseville, MN
- NPI 1932118056
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1053936922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 FAIRVIEW AVE N STE 100",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131306",
"telephone_number": "651-241-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 FAIRVIEW AVE N STE 100",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131306",
"telephone_number": "651-241-5290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSELEY",
"first_name": "SUZANNE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-16",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MN",
"license": "6551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.