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COURTNEY G MOLLER PA
NPI 1043467855
Physician Assistant - Medical in West Haven, CT

Active since August 22, 2008PECOS EnrolledAccepts Medicare Assignment
86.28/100
CMS Quality Rating
950 CAMPBELL AVE, GEC240, WEST HAVEN, CT 06516(203) 932-5711 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Courtney G Moller Pa NPPES

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

COURTNEY G MOLLER PA (NPI 1043467855) is an individual medical provider in West Haven, Connecticut and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2008).

NPPES Registry Identity

NPI1043467855
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCOURTNEY G MOLLERCredential: PA
Location Address950 CAMPBELL AVE, GEC240West Haven, CT 06516-2770
Mailing Address950 Campbell Ave, Gec 240West Haven, CT 06516-2770 · (203) 932-5711
Phone(203) 932-5711
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2008
Enumeration DateAugust 22, 2008
Last NPPES UpdateOctober 12, 2011
✔ NPI 1043467855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
950 CAMPBELL AVE, West Haven, CT 06516
Open in Google Maps ↗

Other Identifiers 2

Other002124CT · License
OtherPA3371MA · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Courtney G Moller Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496814824
PECOS Enrollment IDI20091026000353
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.36
Promoting Interoperability100
Improvement Activities40

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.

LESLIE TANQUILUT PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
950 CAMPBELL AVE, PHARMACY SERVICE (119)
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
NICHOLAS ANDREW VISSICCHIO PH.D.
Psychologist (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
DEVON MACKAY LMSW
Social Worker
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MR. JAMES MICHAEL ALEKSUNES
Counselor
950 CAMPBELL AVE, MS 122V
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MRS. TRACEY PASCARELLA RD
Dietitian, Registered
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
DR. ANTHONY JAMES LISI D.C.
Chiropractor
950 CAMPBELL AVE, BUILDING 2, FLOOR 4
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MS. EVANGELINE BENOIT
Nurse Anesthetist, Certified Registered
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MS. MELISSA ANN SIMONE LCSW
Social Worker (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (860) 694-4875

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 Courtney Moller's NPI number?

The NPI number for Courtney Moller is 1043467855. It was assigned to this individual provider in the NPPES registry on August 22, 2008.

Where is Courtney Moller located?

Courtney Moller practices at 950 Campbell Ave Gec240, West Haven, CT 06516. The listed phone number is (203) 932-5711.

What is Courtney Moller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Courtney Moller enrolled in Medicare?

Yes. Courtney Moller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Courtney Moller was last updated on October 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.