Individual provider Active NPI

Alesha Moyer, FNP-C

  • Family Nurse Practitioner
  • Cedar Lake, IN
National Provider Identifier
1477218675
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012057A Issued in IN
Practice address
9731 Lincoln Plaza Way
Unit 8
Cedar Lake, IN 46303-9331
Phone
(219) 510-5203
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012057A IN Primary

Addresses

Primary practice location

9731 Lincoln Plaza Way
Unit 8
Cedar Lake, IN 46303-9331

Mailing address

9731 Lincoln Plaza Way
Unit 8
Cedar Lake, IN 46303-9331
Phone (219) 510-5203

Other practice location 1

5043 E 81st Ave
Merrillville, IN 46410-5912
Phone (219) 707-5276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20220204001476 IN Practitioner - Nurse Practitioner 5991198491 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 4 LLCGroup PAC ID 4284909615, 64 clinicians

Practice addresses (Care Compare)

1009 5TH Ave
Hammond, IN 46320-1004
Phone (219) 473-0722

129 E 107TH Ave
Crown Point, IN 46307-6517
Phone (219) 662-4134

1923 W Glen Park Ave
Griffith, IN 46319-3703
Phone (219) 922-2535

31 E Sibley St
Suite a
Hammond, IN 46320-1725
Phone (219) 802-8800

3939 Franklin St
Michigan City, IN 46360-7397
Phone (219) 878-5850

5043 E 81St Ave
Merrillville, IN 46410-5912
Phone (219) 554-3290

5521 W Lincoln Hwy
Suite 1a
Crown Point, IN 46307-1098
Phone (219) 769-1362

5995 US Hwy 6
Portage, IN 46368-4945
Phone (219) 963-8234

6131 US Hwy 6
Portage, IN 46368-5058
Phone (219) 841-9788

7890 E Ridge Rd
Hobart, IN 46342-2468
Phone (219) 788-1237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71012057AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Urgent Care, LLC CurrentSince Jan 4, 2022 Accepting new patients
The Methodist Hospitals, Inc PastSince Jan 4, 2022 Accepting new patients

Locations

5521 W US Highway 30
Ste 1A
Crown Point, IN 46307
Phone (219) 769-1362

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

5043 E Lincoln Hwy
Merrillville, IN 46410
Phone (219) 554-3290

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

Organizations & group practices 4

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": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1477218675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9731 LINCOLN PLAZA WAY",
            "address_2": "UNIT 8",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039331",
            "telephone_number": "219-510-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9731 LINCOLN PLAZA WAY",
            "address_2": "UNIT 8",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039331",
            "telephone_number": "219-510-5203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5043 E 81st Ave",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464105912",
            "country_code": "US",
            "telephone_number": "219-707-5276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYER",
        "first_name": "ALESHA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012057A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Lake, IN

Sources for this page

Verify at the official NPI Registry.