Individual provider Active NPI

Nancy Lynne Moyer, M.D.

  • Internal Medicine Physician
  • Hibbing, MN
National Provider Identifier
1508824889
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35768 Issued in MN
Practice address
3605 Mayfair Ave
Hibbing, MN 55746-2923
Phone
(218) 262-3441
Fax
(218) 362-6989
NPI assigned
May 3, 2006
Last updated
Dec 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35768 MN Primary

Addresses

Primary practice location

3605 Mayfair Ave
Hibbing, MN 55746-2923

Mailing address

516 S Pokegama Ave
Grand Rapids, MN 55744-3800
Phone (218) 293-2152

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060126000150 MN Practitioner - Internal Medicine 9931113289 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Minnesota Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych North PLLCGroup PAC ID 9537546841, 6 clinicians

Practice addresses (Care Compare)

1003 E Central Entrance
Duluth, MN 55811-5501
Phone (218) 209-2150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Axness Chiropractic PLLC CurrentSince May 4, 2020 Accepting new patients
Lisa Riggs Aprn CNP LLC CurrentSince Oct 18, 2022 Accepting new patients
Aim-Axness Integrative Medicine, PLLC CurrentSince May 4, 2020 Accepting new patients
Psych North PLLC CurrentSince Jan 8, 2024 Accepting new patients
Hennepin Faculty Associates Past Accepting new patients
Eir Med LLC PastSince Jun 1, 2022 Accepting new patients

Locations

7350 Clearwater Rd
Baxter, MN 56425
Phone (218) 454-5050

1003 E Central Entrance
Duluth, MN 55811
Phone (218) 209-2150

1101 E 37th St
Ste 5
Hibbing, MN 55746
Phone (218) 208-0019

522 E Howard St
Ste 104
Hibbing, MN 55746
Phone (218) 440-1808

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1508824889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 S POKEGAMA AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443800",
            "telephone_number": "218-293-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 MAYFAIR AVE",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462923",
            "telephone_number": "218-262-3441",
            "fax_number": "218-362-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "NANCY",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "35768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hibbing, MN

Sources for this page

Verify at the official NPI Registry.