Individual provider Active NPI

Christina Marie Moellering, MD

  • Pediatrics Physician
  • Springfield, MO
National Provider Identifier
1871684654
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2009007117 Issued in MO
Practice address
1443 N Robberson Ave
Ste 200
Springfield, MO 65802-3840
Phone
(417) 269-8061
Fax
(417) 269-8087
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2006016560 MO
Pediatrics Physician 208000000X 2009007117 MO Primary

Addresses

Primary practice location

1443 N Robberson Ave
Ste 200
Springfield, MO 65802-3840

Mailing address

PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-5712

Other practice location 1

440 E Tampa St
Springfield, MO 65806-1131
Phone (417) 851-1551 ext. 1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100817000445 MO Practitioner - Pediatric MedicinePractitioner - Family Practice 1052445715 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006016560MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates for a Healthy Community Inc CurrentSince Oct 12, 2015 Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Oct 12, 2015 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients
Mercy Hospital Springfield Past Accepting new patients
Advocates for a Healthy Community, Inc. Past Accepting new patients

Locations

1720 W Grand St
Ste B
Springfield, MO 65802
Phone (417) 851-1625

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

Interoperability endpoints

  • Direct secure messaging: christina.moellering.p1@direct.jordanvalley.nextgenshare.com
  • Direct secure messaging: cmoellering694549@direct.ochin.org
  • Direct secure messaging: christina.moellering@cernerdirect.coxhealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1871684654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 N ROBBERSON AVE",
            "address_2": "STE 200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023840",
            "telephone_number": "417-269-8061",
            "fax_number": "417-269-8087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 E Tampa St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658061131",
            "country_code": "US",
            "telephone_number": "417-851-1551 x1015",
            "fax_number": "417-865-3479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOELLERING",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2006016560",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2009007117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.