Kelly Marie Moxley, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

6398 Issued in AK

Practice address

8800 Glacier Hwy
Suite 218
Juneau, AK 99801-8087

Phone

(907) 789-0405

Fax

(907) 789-2925

NPI assigned

May 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK, TX2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Alaska Regional Health ConsortiumGroup PAC ID 1456265362, 373 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Alaska Regional Health Consortium Hospital, Sitka, AK, CCN 021314
• Bartlett Regional Hospital Hospital, Juneau, AK, CCN 020008

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmoxley@direct-searhc.org

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.

• Southeast Alaska Regional Health Consortium

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037

  TX

  Medicare reassignment Care Compare group NPD
• Juneau Foot & Ankle Center

  • Podiatric Clinic/Center
  • Juneau, AK
  • NPI 1285880005
  NPD (past) Authorized official
• Southeast Alaska Regional Health Consortium

  • Clinic/Center
  • Juneau, AK
  • NPI 1427941343
  NPD
• Southeast Alaska Regional Health Consortium

  • Critical Access Hospital
  • Sitka, AK
  • NPI 1720062524
  NPD
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Wrangel, AK
  • NPI 1487836391
  NPD (past)
• Guardian Flight Inc

  • Air Ambulance
  • Rock Springs, WY
  • NPI 1649564931
  NPD (past)

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

• Bartlett Regional Hospital

  • General Acute Care Hospital
  • Juneau, AK
  • NPI 1891849261
  Care Compare affiliation
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Hydaburg, AK
  • NPI 1073728168

  Hospital

  Care Compare affiliation
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Kake, AK
  • NPI 1114973849

  Hospital

  Care Compare affiliation
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Klawock, AK
  • NPI 1215913801

  Hospital

  Care Compare affiliation
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Angoon, AK
  • NPI 1215983945

  Hospital

  Care Compare affiliation
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Petersburg, AK
  • NPI 1447438502

  Hospital

  Care Compare affiliation
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Tenakee Springs, AK
  • NPI 1477721280

  Hospital

  Care Compare affiliation
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Wrangel, AK
  • NPI 1487836391

  Hospital

  Care Compare affiliation
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Pelican, AK
  • NPI 1659585479

  Hospital

  Care Compare affiliation
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Haines, AK
  • NPI 1932184298

  Hospital

  Care Compare affiliation
• South East Alaska Regional Health Consortium

  • Nursing Facility/Intermediate Care Facility
  • Juneau, AK
  • NPI 1932312485

  Hospital

  Care Compare affiliation
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Juneau, AK
  • NPI 1942284765

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1669673596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 GLACIER HWY",
            "address_2": "SUITE 218",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018087",
            "telephone_number": "907-789-0405",
            "fax_number": "907-789-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 GLACIER HWY",
            "address_2": "SUITE 218",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018087",
            "telephone_number": "907-789-0405",
            "fax_number": "907-789-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOXLEY",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AK",
            "license": "6398",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1821",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E 4753",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "6398",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Morrison
• Daryl Moulton
• Kayla Ann Mount, FNP-C
• James Mounts
• Thad Ryan Mowdy, PHARM.D.
• Christopher Robert Mueller, DPT
• Justine Muench, R.N.
• David W Muldoon
• Mira Louda Mullen, LPC, NCC
• Rafe Mumford

• Foot & Ankle Surgery Podiatrist in Juneau, AK
• Providers in Juneau, AK by specialty
• Foot & Ankle Surgery Podiatrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.