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AMANDA M MOEN MD
NPI 1154563401
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Minneapolis, MN

Active since April 01, 2009PECOS Enrolled
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 365-6777(612) 365-8021 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda M Moen Md NPPES

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

AMANDA M MOEN MD (NPI 1154563401) is an individual neurology with special qualifications in child neurology provider in Minneapolis, Minnesota, licensed in Minnesota (58414) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1154563401
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameAMANDA M MOENCredential: MD
Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450
Mailing Address200 University Ave ESaint Paul, MN 55101-2507 · (651) 720-2803 · Fax (651) 229-1718
Phone(612) 365-6777
Fax(612) 365-8021
Sole ProprietorNo
Enumeration DateApril 1, 2009
Last NPPES UpdateApril 4, 2019
✔ NPI 1154563401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in MN · 58414✔ Licensed in MN · 107634
Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

2450 RIVERSIDE AVE, Minneapolis, MN 55454
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Secondary Practice Location 1

Location 1200 University Ave ESaint Paul, MN 55101-2507 · Phone (651) 720-2803 · Fax (651) 229-1718

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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)

Amanda M Moen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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 20

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

MICHELLE IRENE GRAY
Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. KATHLEEN F SADAK MD
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-6402
DR. ADMATHA MUTHYALA WINFRED MD
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
KELLY SCHELLER WILLIAMS
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-3216
MRS. MARY SUSAN CLIPP CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-3100
DANIEL TESFAYE KEBED MD
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MS. CHELSEA ANJELICA MIELKE PA-C
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MRS. JESSICA LYNN MCADAM
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8383

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 Amanda Moen's NPI number?

The NPI number for Amanda Moen is 1154563401. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Amanda Moen located?

Amanda Moen practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 365-6777.

What is Amanda Moen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Amanda Moen enrolled in Medicare?

Yes. Amanda Moen is registered in the Medicare PECOS enrollment system.

What insurance does Amanda Moen accept?

Health plans from Medica and Sanford Health Plan list Amanda 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.

When was this NPI record last updated?

The NPPES record for Amanda Moen was last updated on April 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.