Beverly Kay Moeller, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP136301 Issued in TX

Practice address

801 N Tarrant Pkwy
Keller, TX 76248-6860

Phone

(817) 428-5558

NPI assigned

Feb 13, 2018

Last updated

Sep 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Minuteclinic Telehealth Services of Texas Association

  • Family Nurse Practitioner
  • Round Rock, TX
  • NPI 1922564301
  Medicare reassignment NPD
• Swiftcare Urgent Care, PLLC

  dba SwiftCare Urgent Care

  • Urgent Care Clinic/Center
  • Euless, TX
  • NPI 1578917340
  Medicare reassignment NPD
• United Primary Clinic Care LLC

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1881419620
  NPD (past)

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1326548652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N TARRANT PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762486860",
            "telephone_number": "817-428-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TARRANT PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762486860",
            "telephone_number": "817-428-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "BEVERLY",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Miphouvieng, FNP
• Amy Lachelle Mitchell, FNP-BC
• Mobile Therapy Now
• Mason Allan Modad, DC
• Michelle Nicole Moe-Aiken, M.D.
• Moni Medical Group PLLC (Bluebonnet Internal Medicine)
• Robert John Montoya, D.D.S.
• Amber Moon, SLP INTERN
• Brenda W. Moon, P.T.
• Catherine R. Moore, MA CCC/SLP

• Family Nurse Practitioner in Keller, TX
• Providers in Keller, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.