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DR. STACI MOSER DO
NPI 1013093004
Family Medicine in Minneapolis, MN

Active since October 31, 2006PECOS Enrolled
1000 NICOLLET MALL # 260, MINNEAPOLIS, MN 55403(952) 977-0700(952) 977-1977 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2021, Mar 7, 2019 (2 updates tracked since 2019).

About Dr. Staci Moser Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACI MOSER DO (NPI 1013093004) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (47734) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Edina.

NPPES Registry Identity

NPI1013093004
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STACI MOSERCredential: DO
Location Address1000 NICOLLET MALL # 260Minneapolis, MN 55403-2542
Mailing Address1000 Nicollet Mall # 260Minneapolis, MN 55403-2542 · (952) 977-0700 · Fax (952) 977-1977
Phone(952) 977-0700
Fax(952) 977-1977
Sole ProprietorNo
Enumeration DateOctober 31, 2006
Last NPPES UpdateMarch 4, 20212 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
✔ NPI 1013093004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 47734
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1000 NICOLLET MALL # 260, Minneapolis, MN 55403
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Secondary Practice Location 1

Location 17701 York Ave S Ste 300Edina, MN 55435-5864 · Phone (952) 926-6489 · Fax (952) 926-6501

Other Identifiers 8

Other634T4MOBcbs/urgent Care
Medicaid0596379IA
Other106789Ucare/urgent Care
Other66-08691Medica/urgent Care
OtherHP54874Healthpartners/urgent Car
Other1032683Preferred One/urgent Care
Medicaid051044100MN
Medicaid34680400WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Staci Moser Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Staci Moser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Park Nicollet Clinic
Same address
Family Medicine
1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
NPI 1912315144 (952) 977-0700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARROW HEALTH CHIROPRACTIC, P.A.
Chiropractor
1000 NICOLLET MALL # 260
MINNEAPOLIS, MN 55403
Hennepin County (612) 267-5595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Staci Moser's NPI number?

The NPI number for Staci Moser is 1013093004. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Staci Moser located?

Staci Moser practices at 1000 Nicollet Mall # 260, Minneapolis, MN 55403. The listed phone number is (952) 977-0700.

What is Staci Moser's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Staci Moser enrolled in Medicare?

Yes. Staci Moser is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Staci Moser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Staci Moser reassigns Medicare benefits to Park Nicollet Clinic (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Staci Moser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Staci Moser was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.