RAYMOND MOY DNP, RN
NPI 1164015848
Nurse Practitioner - Primary Care in Chicago, IL

Active since February 14, 2021PECOS EnrolledAccepts Medicare Assignment
3639 W MONTROSE AVE APT 3E, CHICAGO, IL 60618(773) 931-2648 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Raymond Moy Dnp, Rn NPPES

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

RAYMOND MOY DNP, RN (NPI 1164015848) is an individual primary care provider in Chicago, Illinois, licensed in Illinois (209022888) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164015848
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameRAYMOND MOYCredential: DNP, RN
Location Address3639 W MONTROSE AVE APT 3EChicago, IL 60618-1125
Mailing Address8221 Mourning Dove CtWoodridge, IL 60517-4508 · (773) 931-2648
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 14, 2021
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
NPI 1164015848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in IL · 209022888
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.402567 (IL)
3639 W MONTROSE AVE APT 3E, Chicago, IL 60618

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

Raymond Moy Dnp, Rn 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.

PECOS PAC ID8527588425
PECOS Enrollment IDI20250424001790
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 60618 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164015848, enumerated as an "individual" on February 14, 2021.

The provider is located at 3639 W MONTROSE AVE APT 3E CHICAGO, IL 60618 and the phone number is (773) 931-2648.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.