JOHN PAUL MOULDER MDIV, MA
NPI 1114403243
Counselor in Chicago, IL
About John Paul Moulder Mdiv, Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN PAUL MOULDER MDIV, MA (NPI 1114403243) is an individual counselor in Chicago, Illinois and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
John Paul Moulder Mdiv, Ma 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.
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.
CHICAGO, IL 60611
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 John Moulder's NPI number?
The NPI number for John Moulder is 1114403243. It was assigned to this individual provider in the NPPES registry on July 11, 2018.
Where is John Moulder located?
John Moulder practices at 126 E Chestnut St, Chicago, IL 60611. The listed phone number is (312) 787-8425.
What is John Moulder's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is John Moulder enrolled in Medicare?
Yes. John Moulder 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 John Moulder was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# John Paul Moulder, MDIV, MA · NPI 1114403243
Counselor provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 11, 2018.
## Identity
- **NPI:** 1114403243 (Entity type: Individual)
- **Enumerated:** July 11, 2018
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 126 E CHESTNUT ST, Chicago, IL 60611-2014
- **Phone:** (312) 787-8425
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 11, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1114403243) · Data from the CMS NPPES public registry.