Active NPI
Michaela D Moody, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Terre Haute, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28182922A
- Practice address
- 315 E Davis Dr
Terre Haute, IN 47802-4072 - Phone
- (812) 645-3472
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28182922A | IN | Primary |
Addresses
Primary practice location
315 E Davis Dr
Terre Haute, IN 47802-4072
Mailing address
PO Box 163
Farmersburg, IN 47850-0163
Phone (812) 243-4502
Other practice location 1
2112 S 3rd St
Terre Haute, IN 47802-3045
Phone (812) 645-3472
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michaela.moody@wvid.eclinicaldirectplus.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Potters LN
Clarksville, IN 47129-1017
Phone (443) 383-9300
105 Water St
Plymouth, IN 46563-2148
Phone (888) 402-0202
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28182922A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Consonant Healing Associates of de LLC | Current | Accepting new patients | |
| Wabash Valley Infectious Diseases Clinic LLC | Current | Accepting new patients | |
| Union Hospital Inc. | Current | Accepting new patients | |
| Sullivan County Community Hospital | Past | Accepting new patients |
Locations
101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808
150 Beechmont Dr NE
Corydon, IN 47112
Phone (812) 738-0550
2640 Cold Spring Rd
#A
Indianapolis, IN 46222
Phone (315) 909-1540
105 Water St
Plymouth, IN 46563
Phone (574) 540-2052
2112 S 3rd St
Terre Haute, IN 47802
Phone (812) 645-3472
315 E Davis Dr
Terre Haute, IN 47802
Phone (812) 645-3472
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
Interoperability endpoints
- mimoody@unionhealth.cernerdirect.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Medical Specialty Clinic/Center
- Terre Haute, IN
- NPI 1093953234
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- Primary Care Clinic/Center
- Carlisle, IN
- NPI 1720524945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1871076471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 163",
"city": "FARMERSBURG",
"state": "IN",
"postal_code": "478500163",
"telephone_number": "812-243-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E DAVIS DR",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024072",
"telephone_number": "812-645-3472"
}
],
"practiceLocations": [
{
"address_1": "2112 S 3rd St",
"address_purpose": "LOCATION",
"city": "Terre Haute",
"state": "IN",
"postal_code": "478023045",
"country_code": "US",
"telephone_number": "812-645-3472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOODY",
"first_name": "MICHAELA",
"middle_name": "D",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28182922A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michaela.moody@wvid.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "315 E Davis Dr",
"city": "Terre Haute",
"state": "IN",
"country_code": "US",
"postal_code": "478024072",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.