Active NPI
Monica Rae Moehle, APRN
- Acute Care Nurse Practitioner
- Louisville, KY
National Provider Identifier
1104609767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 4005870
- Practice address
- 201 Abraham Flexner Way Ste 100
Louisville, KY 40202-3841 - Phone
- (502) 587-8222
- Fax
- (502) 587-0860
- NPI assigned
- Aug 17, 2023
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4005870 | KY | Primary |
Addresses
Primary practice location
201 Abraham Flexner Way Ste 100
Louisville, KY 40202-3841
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0328
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300082367 | Medicaid | IN | |
| 7100928130 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
201 Abraham Flexner Way
Ste 100
Louisville, KY 40202
Phone (502) 587-8222
200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Surgery Physician
- Louisville, KY
- NPI 1245597293
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1104609767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909",
"telephone_number": "502-588-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ABRAHAM FLEXNER WAY STE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023841",
"telephone_number": "502-587-8222",
"fax_number": "502-587-0860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOEHLE",
"first_name": "MONICA",
"middle_name": "RAE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-17",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "4005870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300082367",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100928130",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.