Individual provider Active NPI

Judith Stevens Moriarty, CNM, CRNP

  • Women's Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1225016199
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R142560 Issued in MD
Practice address
5123 W 98TH St # 134
Minneapolis, MN 55437-2040
Phone
(612) 217-4967
Fax
(833) 993-3475
NPI assigned
Jan 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X R142560 MD Primary
Advanced Practice Midwife 367A00000X R142560 MD

Addresses

Primary practice location

5123 W 98TH St # 134
Minneapolis, MN 55437-2040

Mailing address

7421 Skyline Dr
Frederick, MD 21702-3651
Phone (240) 446-3362

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000804 MD Practitioner - Certified Nurse Midwife (CNM) 2769396241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
74.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
R142560MDMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Simmonds, Martin & Helmbrecht, LLC CurrentSince Aug 18, 2008 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Dr. Robert H. Mayernik, LLC Past Accepting new patients

Locations

26005 Ridge Rd
Ste 200
Damascus, MD 20872
Phone (301) 414-0120

77 Thomas Johnson Dr
Ste H
Frederick, MD 21702
Phone (301) 620-7144

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.

NPI Registry JSON

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1225016199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 SKYLINE DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023651",
            "telephone_number": "240-446-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 W 98TH ST # 134",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554372040",
            "telephone_number": "612-217-4967",
            "fax_number": "833-993-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIARTY",
        "first_name": "JUDITH",
        "middle_name": "STEVENS",
        "name_prefix": "Ms.",
        "credential": "CNM, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-02",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R142560",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R142560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.