NPIMap

Individual provider Active NPI

Michelle Elizabeth Moyer, D.O.

  • Psychiatry Physician
  • Soldotna, AK
National Provider Identifier
1407485774
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
221403 Issued in AK
Practice address
291 N Fireweed St
Soldotna, AK 99669-7540
Phone
(907) 714-5950
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X BP10072238 TX
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X T8895 TX
Psychiatry Physician 2084P0800X 221403 AK Primary

Addresses

Primary practice location

291 N Fireweed St
Soldotna, AK 99669-7540

Mailing address

250 Hospital PL
Soldotna, AK 99669-7559

Other practice location 1

7400 Barlite Blvd Apt 2
San Antonio, TX 78224-1308
Phone (603) 731-8804

Other practice location 2

7122 Stonewall Hl
San Antonio, TX 78256-1926
Phone (603) 731-8169

Other names 1

  • Michelle Elizabeth Turner Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MMOYER3320437@AK.PROVIDENCEDIRECT.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909000985 AK Practitioner - Psychiatry 7416497268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Peninsula General Hospital IncGroup PAC ID 4587552575, 119 clinicians

Practice addresses (Care Compare)

291 N Fireweed St
Soldotna, AK 99669-7540
Phone (907) 714-5950

Hospital & facility affiliations

  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
BP10072238TXMDPsychiatry Physician
T8895TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Peninsula General Hospital Inc CurrentSince Aug 1, 2024 Accepting new patients
Central Peninsula General Hospital Inc. Single Specialty Current Accepting new patients
North Star Medical Imaging PLLC Single Specialty Current Accepting new patients
Central Peninsula General Hospital, Inc Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Central Peninsula General Hospital, Inc Past Accepting new patients

Locations

291 N Fireweed St
Soldotna, AK 99669
Phone (907) 262-6454

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

Interoperability endpoints

  • Direct secure messaging: mmoyer3320437@ak.providencedirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1407485774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HOSPITAL PL",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 N FIREWEED ST",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697540",
            "telephone_number": "907-714-5950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 Barlite Blvd Apt 2",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782241308",
            "country_code": "US",
            "telephone_number": "603-731-8804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7122 Stonewall Hl",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782561926",
            "country_code": "US",
            "telephone_number": "603-731-8169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYER",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "BP10072238",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T8895",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "221403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MMOYER3320437@AK.PROVIDENCEDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "Provider direct messaging address",
            "address_1": "291 N Fireweed St",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "TURNER",
            "middle_name": "ELIZABETH",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.