ANDREW MOEN D.P.M.
NPI 1073843587
Podiatrist in Detroit Lakes, MN
About Andrew Moen D.p.m. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW MOEN D.P.M. (NPI 1073843587) is an individual podiatrist in Detroit Lakes, Minnesota, licensed in Minnesota (844) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andrew Moen D.p.m. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Andrew Moen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit Lakes, MN 56501
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: St Marys Regional Health Center
- 254 clinicians in this Medicare group
Ada, MN 56510
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1366886186 (Minnesota)
- 35 clinicians in this Medicare group
Fosston, MN 56542
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1497850119 (Minnesota)
- 91 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Marys - Detroit Lakes
Acute Care Hospitals · Detroit Lakes, MNEssentia Health Fosston
Critical Access Hospitals · Fosston, MNEssentia Health
Acute Care Hospitals · Fargo, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Andrew Moen's NPI number?
The NPI number for Andrew Moen is 1073843587. It was assigned to this individual provider in the NPPES registry on January 5, 2010.
Where is Andrew Moen located?
Andrew Moen practices at 1027 Washington Ave, Detroit Lakes, MN 56501. The listed phone number is (218) 847-5611.
What is Andrew Moen's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Andrew Moen enrolled in Medicare?
Yes. Andrew Moen 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.
Which organizations bill Medicare for Andrew Moen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Moen reassigns Medicare benefits to 3 organizations: St Mary's Regional Health Center (Detroit Lakes, MN), Bridges Medical Center (Ada, MN) and First Care Medical Services (Fosston, MN). Each 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 Andrew Moen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Moen accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Andrew Moen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Andrew Moen affiliated with any hospitals?
According to CMS data, Andrew Moen is affiliated with Essentia Health St Marys - Detroit Lakes, Essentia Health Fosston and Essentia Health.
When was this NPI record last updated?
The NPPES record for Andrew Moen was last updated on December 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Andrew Moen, D.P.M. · NPI 1073843587
Podiatrist provider in Detroit Lakes, Minnesota. Individual provider, active in the CMS NPPES registry since January 5, 2010.
## Identity
- **NPI:** 1073843587 (Entity type: Individual)
- **Enumerated:** January 5, 2010
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **State license:** 844 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1027 WASHINGTON AVE, Detroit Lakes, MN 56501-3409
- **Phone:** (218) 847-5611 · **Fax:** (218) 847-0881
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St Mary's Regional Health Center (NPI 1134118250, Detroit Lakes, MN); Bridges Medical Center (NPI 1306836598, Ada, MN); First Care Medical Services (NPI 1073638565, Fosston, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** December 7, 2011
- **Other identifiers:** Medicaid 1073843587 (MN); Medicare PIN 480000805 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1073843587) · Data from the CMS NPPES public registry.