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JOHN MOELLER
NPI 1134541832
General Practice in Lubbock, TX

Active since January 14, 2014PECOS Enrolled
12006 VICKSBURG AVE, LUBBOCK, TX 79424(806) 543-6590 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Moeller NPPES

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

JOHN MOELLER (NPI 1134541832) is an individual general practice provider in Lubbock, Texas, licensed in Texas (J9217) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (1986).

NPPES Registry Identity

NPI1134541832
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOHN MOELLER
Location Address12006 VICKSBURG AVELubbock, TX 79424-7745
Mailing Address12006 Vicksburg AveLubbock, TX 79424-7745
Phone(806) 543-6590
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1986
Enumeration DateJanuary 14, 2014
Last NPPES UpdateDecember 9, 2019
✔ NPI 1134541832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · J9217
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
12006 VICKSBURG AVE, Lubbock, TX 79424
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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)

John Moeller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305337932
PECOS Enrollment IDI20251112000615
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.

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 Moeller's NPI number?

The NPI number for John Moeller is 1134541832. It was assigned to this individual provider in the NPPES registry on January 14, 2014.

Where is John Moeller located?

John Moeller practices at 12006 Vicksburg Ave, Lubbock, TX 79424. The listed phone number is (806) 543-6590.

What is John Moeller's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is John Moeller enrolled in Medicare?

Yes. John Moeller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Moeller was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.