Individual provider Active NPI

Kari Jean Moeller, FNP

  • Family Nurse Practitioner
  • Rancho Mirage, CA
National Provider Identifier
1841656980
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003609 Issued in CA
Practice address
71687 Highway 111 Ste 101
Rancho Mirage, CA 92270-4515
Phone
(760) 341-0772
NPI assigned
Jan 5, 2016
Last updated
May 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95003609 CA Primary
Family Health Clinical Nurse Specialist 364SF0001X 95003609 CA

Addresses

Primary practice location

71687 Highway 111 Ste 101
Rancho Mirage, CA 92270-4515

Mailing address

72047 Dinah Shore Dr Ste C4
Rancho Mirage, CA 92270-1783
Phone (760) 770-7600

Other practice location 1

72047 Dinah Shore Dr Ste C4
Rancho Mirage, CA 92270-1783
Phone (760) 770-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160209000513 CA Practitioner - Nurse Practitioner 3870897044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Ear Nose and Throat Medical Group IncGroup PAC ID 6002909322, 8 clinicians

Practice addresses (Care Compare)

71687 Hwy 111
Suite 101
Rancho Mirage, CA 92270-4515
Phone (760) 340-4566

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.2 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95003609CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rupinder Mann M D Inc PastSince Jan 17, 2015 Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1841656980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72047 DINAH SHORE DR STE C4",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701783",
            "telephone_number": "760-770-7600",
            "fax_number": "760-770-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71687 HIGHWAY 111 STE 101",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704515",
            "telephone_number": "760-341-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72047 Dinah Shore Dr Ste C4",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922701783",
            "country_code": "US",
            "telephone_number": "760-770-7600",
            "fax_number": "760-770-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "KARI",
        "middle_name": "JEAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003609",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "CA",
            "license": "95003609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.