Charlene J Moeller, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

20009 Issued in WY

Practice address

110 S Gould St
Sheridan, WY 82801-6321

Phone

(307) 673-8701

Fax

(307) 224-2293

NPI assigned

May 20, 2019

Last updated

May 20, 2019By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Sheridan Podiatry LLC

  • Foot & Ankle Surgery Podiatrist
  • Sheridan, WY
  • NPI 1871429043
  NPD (past)
• Sisterhood Sanctuary, LLC

  • Clinic/Center
  • Sheridan, WY
  • NPI 1679043756
  NPD (past)

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1609433218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5087",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828011387",
            "telephone_number": "307-763-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S GOULD ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016321",
            "telephone_number": "307-673-8701",
            "fax_number": "307-224-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "CHARLENE",
        "middle_name": "J",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "20009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Mischke, PA
• Renetta Mischke, M.S., CCC-SLP
• Betty L. Mitchell, D.C.
• Glenda Lu Mitchell, MS
• MMH Visions LLC
• George W Mohatt, DDS
• Lisa Nicholls Mohatt, PT
• Adrianna Molisani, FNP
• Megan Molitor, PHARMD
• Momentum Counseling and Consulting LLC

• Registered Nurse in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Registered Nurse in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.