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DR. CALEB MOFFETT
NPI 1043154412
Student in an Organized Health Care Education/Training Program in Chelsea, MI

Active since April 16, 2026PECOS Enrolled
14700 E OLD US HIGHWAY 12, CHELSEA, MI 48118(734) 475-1321 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Caleb Moffett NPPES

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

DR. CALEB MOFFETT (NPI 1043154412) is an individual student in an organized health care education/training program in Chelsea, Michigan, licensed in Michigan (4351055590) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043154412
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CALEB MOFFETT
Location Address14700 E OLD US HIGHWAY 12Chelsea, MI 48118-1185
Mailing Address300 N Ingalls St # Ni4c06Ann Arbor, MI 48109-0400 · (734) 615-2690
Phone(734) 475-1321
Sole ProprietorNo
Enumeration DateApril 16, 2026
NPPES CertifiedApril 10, 2026
✔ NPI 1043154412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351055590
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
14700 E OLD US HIGHWAY 12, Chelsea, MI 48118
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Caleb Moffett 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.

Other Providers at the Same Location NPPES 20

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

HEIDI JOY JOSHI PSYD
Psychologist (Clinical)
14700 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 475-1321
TAYLOR LOMBARD
Student in an Organized Health Care Education/Training Program
14700 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 475-1321
JANE ELIZABETH BEIMER MD
Physical Medicine & Rehabilitation
14700 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 936-7175
MADISON MARIE MARRAS MD
Student in an Organized Health Care Education/Training Program
14700 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 748-1653
ALEXANDRA SELIM THEISEN M.D.
Physical Medicine & Rehabilitation
14700 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 936-7175
JACOB WASAG
Family Medicine
14700 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 475-1321
AMANDA EDMOND FARAH MSW
Social Worker (Clinical)
14700 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 539-5000
MEGAN LYNN HARMAN MD
Student in an Organized Health Care Education/Training Program
14700 E OLD US HIGHWAY 12
CHELSEA, MI 48118
Washtenaw County (734) 615-2690

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 Caleb Moffett's NPI number?

The NPI number for Caleb Moffett is 1043154412. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Caleb Moffett located?

Caleb Moffett practices at 14700 E Old Us Highway 12, Chelsea, MI 48118. The listed phone number is (734) 475-1321.

What is Caleb Moffett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Caleb Moffett enrolled in Medicare?

Yes. Caleb Moffett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Caleb Moffett was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.