Mary Catherine Moody, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10041565 Issued in OR

Practice address

2725 SW Cedar Hills Blvd Ste 200
Beaverton, OR 97005-1435

Phone

(503) 214-1697

NPI assigned

Dec 9, 2014

Last updated

Aug 28, 2026By 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 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, ME, MT3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bucksport Regional Health CenterGroup PAC ID 9638135858, shared by 4 NPIs, 30 clinicians

Logan Health - ConradGroup PAC ID 8921917501, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pondera Medical Center Hospital, Conrad, MT, CCN 271324
• St Joseph Hospital Hospital, Bangor, ME, CCN 200001

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/GAGGCD
• Direct secure messaging: mmoody716852@direct.mmc.mainehealth.org

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.

• Logan Health - Conrad

  • Critical Access Hospital
  • Conrad, MT
  • NPI 1467445049
  Medicare reassignment Care Compare group
• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562
  Medicare reassignment NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936
  Medicare reassignment NPD
• Hephzibah Visiting Clinicians

  • Family Nurse Practitioner
  • Desoto, TX
  • NPI 1083101075
  Medicare reassignment NPD
• Ponca Tribe of Nebraska

  dba Fred LeRoy Health & Wellness Center

  • Clinic/Center
  • Omaha, NE
  • NPI 1710172879

  TX

  Medicare reassignment NPD
• Primamed Physicians PLLC

  dba Baylor Scott & White Urgent Care Plus

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1164494068
  Medicare reassignment NPD
• Value Urgent Care Clinics of Texas PLLC

  dba Urgent Care TX

  • Urgent Care Clinic/Center
  • Cleburne, TX
  • NPI 1558811083
  Medicare reassignment NPD
• Liberty County Hospital and Nursing Home, Inc

  dba Logan Health Rural Health Clinic- Chester

  • Rural Health Clinic/Center
  • Chester, MT
  • NPI 1003984097
  Medicare reassignment
• Liberty County Hospital and Nursing Home, Inc

  dba Logan Health Chester

  • Critical Access Hospital
  • Chester, MT
  • NPI 1497754782
  Medicare reassignment
• Logan Health - Shelby

  dba Marias Medical Center

  • Critical Access Hospital
  • Shelby, MT
  • NPI 1497742415
  Medicare reassignment
• Northern Rockies Medical Center, Inc.

  dba Logan Health - Cut Bank

  • Critical Access Hospital
  • Cut Bank, MT
  • NPI 1831143080
  Medicare reassignment
• Eye for Beauty Med Spa & GBC Family Medicine, PLLC

  • Family Nurse Practitioner
  • Gun Barrel City, TX
  • NPI 1538663877
  NPD (past) Authorized official

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

• Logan Health - Conrad

  • Critical Access Hospital
  • Conrad, MT
  • NPI 1467445049
  Care Compare affiliation
• St. Joseph Hospital

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1154321545
  Care Compare affiliation

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1891193744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 W MAIN ST",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751563638",
            "telephone_number": "903-713-2000",
            "fax_number": "903-713-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 SW CEDAR HILLS BLVD STE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051435",
            "telephone_number": "503-214-1697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "MT",
            "postal_code": "595227801",
            "country_code": "US",
            "telephone_number": "406-759-5181",
            "fax_number": "406-759-5799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 2nd St SE",
            "address_purpose": "LOCATION",
            "city": "Cut Bank",
            "state": "MT",
            "postal_code": "594273329",
            "country_code": "US",
            "telephone_number": "406-873-2251",
            "fax_number": "406-873-3118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Conrad",
            "state": "MT",
            "postal_code": "594251717",
            "country_code": "US",
            "telephone_number": "406-271-3211",
            "fax_number": "406-271-3917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2418 W Main St",
            "address_purpose": "LOCATION",
            "city": "Gun Barrel City",
            "state": "TX",
            "postal_code": "751563638",
            "country_code": "US",
            "telephone_number": "903-713-2000",
            "fax_number": "903-713-2004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2821 Daggett Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976011129",
            "country_code": "US",
            "telephone_number": "541-274-3150",
            "fax_number": "541-274-3155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "MT",
            "postal_code": "594741663",
            "country_code": "US",
            "telephone_number": "406-434-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10041565",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126911",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "287872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Logan Health - Conrad",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "805 Sunset Boulevard",
            "city": "Conrad",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594250758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sheila Annette Montgomery, LMT
• Susan Montiel- Hernandez
• Jennifer Montijo
• Kimberlea Montoya
• Alan Mark Montrose, D.M.D.
• Mattelynn Ellise Moon
• Courtney L Moore
• Eden Moore
• Elizabeth Adair Moore, AGPCNP-BC
• Jessica Moore, CRM

• Family Nurse Practitioner in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.