AMY RENEE MOSER PMHNP
NPI 1104716984
Nurse Practitioner - Psychiatric/Mental Health in Baudette, MN

Active since July 03, 2025PECOS Enrolled
600 MAIN AVE S, BAUDETTE, MN 56623(218) 634-3400 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2025, Jul 3, 2025 (2 updates tracked since 2025).

About Amy Renee Moser Pmhnp NPPES

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

AMY RENEE MOSER PMHNP (NPI 1104716984) is an individual psychiatric/mental health provider in Baudette, Minnesota, licensed in Minnesota (12942) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Lakewood Health Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104716984
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMY RENEE MOSERCredential: PMHNP
Location Address600 MAIN AVE SBaudette, MN 56623-2855
Mailing Address510 1st St Nw Apt 10Baudette, MN 56623-2755 · (218) 684-4009
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 3, 2025
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
NPI 1104716984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MN · 12942
600 MAIN AVE S, Baudette, MN 56623

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amy Renee Moser Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739672692
PECOS Enrollment IDI20251201001328
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakewood Health Center

Critical Access Hospitals · Baudette, MN
OwnershipVoluntary non-profit - Church
CMS Certification Number241301
Location600 Main Ave SBaudette, MN 56623 · Lake Of Woods County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56623 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 19

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

Social Worker (Clinical)
600 MAIN AVE S
BAUDETTE, MN 56623
Physician Assistant
600 MAIN AVE S
BAUDETTE, MN 56623
Hospice Care, Community Based
600 MAIN AVE S
BAUDETTE, MN 56623
Community Health Worker
600 MAIN AVE S
BAUDETTE, MN 56623
Dietitian, Registered
600 MAIN AVE S
BAUDETTE, MN 56623
Family Medicine
600 MAIN AVE S
BAUDETTE, MN 56623
Family Medicine
600 MAIN AVE S
BAUDETTE, MN 56623
Physician Assistant
600 MAIN AVE S
BAUDETTE, MN 56623

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 Amy Moser's NPI number?

The NPI number for Amy Moser is 1104716984. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Where is Amy Moser located?

Amy Moser practices at 600 Main Ave S, Baudette, MN 56623. The listed phone number is (218) 634-3400.

What is Amy Moser's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amy Moser enrolled in Medicare?

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

What insurance does Amy Moser accept?

Health plans from Sanford Health Plan list Amy Moser 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 Amy Moser affiliated with any hospitals?

According to CMS data, Amy Moser is affiliated with Lakewood Health Center.

When was this NPI record last updated?

The NPPES record for Amy Moser was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.