ANN MARIE MOYLAN LCSW
NPI 1164099081
Social Worker - Clinical in Portland, OR
About Ann Marie Moylan Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANN MARIE MOYLAN LCSW (NPI 1164099081) is an individual clinical provider in Portland, Oregon, licensed in Oregon (15431) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ann Marie Moylan Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ann Moylan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97214
- Reassigned Medicare billing, Oregon enrollment
- 60 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ann Moylan's NPI number?
The NPI number for Ann Moylan is 1164099081. It was assigned to this individual provider in the NPPES registry on June 9, 2021.
Where is Ann Moylan located?
Ann Moylan practices at 1717 NE 42nd Ave Ste 3100, Portland, OR 97213. The listed phone number is (503) 567-5103.
What is Ann Moylan's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Ann Moylan enrolled in Medicare?
Yes. Ann Moylan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ann Moylan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ann Moylan reassigns Medicare benefits to Larsen Sanchez Psychology, LLC (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ann Moylan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ann Moylan accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Ann Moylan 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 Ann Moylan was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Ann Marie Moylan, LCSW · NPI 1164099081
Clinical provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since June 9, 2021.
## Identity
- **NPI:** 1164099081 (Entity type: Individual)
- **Enumerated:** June 9, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 15431 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1717 NE 42ND AVE STE 3100, Portland, OR 97213-1572
- **Phone:** (503) 567-5103
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Larsen Sanchez Psychology, LLC (NPI 1588041388, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1164099081) · Data from the CMS NPPES public registry.