NPIMap

Individual provider Active NPI

Sueky Marie Moeller, DNP, FNP-C

  • Family Nurse Practitioner
  • Pipestone, MN
National Provider Identifier
1912774597
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11070 Issued in MN
Practice address
609 4TH Ave SW
Pipestone, MN 56164-1532
Phone
(701) 388-1153
NPI assigned
Dec 5, 2023
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11070 MN Primary

Addresses

Primary practice location

609 4TH Ave SW
Pipestone, MN 56164-1532

Mailing address

609 4TH Ave SW
Pipestone, MN 56164-1532
Phone (701) 388-1153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313003581 MN Practitioner - Nurse Practitioner 5193161057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pipestone County Medical CenterGroup PAC ID 0840109682, shared by 6 NPIs, 33 clinicians

Practice addresses (Care Compare)

916 4TH Ave SW
Pipestone, MN 56164-1890
Phone (507) 825-5811

916 SW 4TH Ave
Pipestone, MN 56164-1890
Phone (507) 825-5811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11070MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pipestone County Medical Center CurrentSince Feb 1, 2024 Accepting new patients
Pipestone County Medical Center Avera CurrentSince Feb 1, 2024 Accepting new patients
Pipestone County Medical Center Current Accepting new patients
Pipestone County Medical Center Current Accepting new patients

Locations

916 4th Ave SW
Pipestone, MN 56164
Phone (507) 825-5811

Organizations & group practices 4

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1912774597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 4TH AVE SW",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641532",
            "telephone_number": "701-388-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 4TH AVE SW",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641532",
            "telephone_number": "701-388-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "SUEKY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "11070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pipestone, MN

Sources for this page

Verify at the official NPI Registry.