MRS. CAYLIN CERVETTI MOEN
NPI 1164883500
Nurse Practitioner - Psychiatric/Mental Health in Nashville, TN

Q: What is Caylin Moen's NPI number?

The NPI number for Caylin Moen is 1164883500. It was assigned to this individual provider in the NPPES registry on March 13, 2016.

Q: What is Caylin Moen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Caylin Moen was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 13, 2016PECOS Enrolled

1921 RANSOM PL, NASHVILLE, TN 37217(615) 279-6700(615) 279-6702 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 17, 2018, Jan 10, 2018 (2 updates tracked since 2018).

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About Mrs. Caylin Cervetti Moen NPPES

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

MRS. CAYLIN CERVETTI MOEN (NPI 1164883500) is an individual psychiatric/mental health provider in Nashville, Tennessee, licensed in Tennessee (23302) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Columbia Memorial Hospital, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1164883500

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. CAYLIN CERVETTI MOEN

Location Address1921 RANSOM PLNashville, TN 37217-3841

Mailing Address1921 Ransom PlNashville, TN 37217-3841 · (615) 279-6700

Phone(615) 279-6700

Fax(615) 279-6702

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 13, 2016

Last NPPES UpdateMay 28, 20242 updates tracked since enumeration

NPPES CertifiedMay 28, 2024

✔ NPI 1164883500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in TN · 23302✔ Licensed in OR · 10015446✔ Licensed in MI · 4704416578

Also ListedRegistered NurseTaxonomy 163W00000X · License RN0000212361 (TN)

1921 RANSOM PL, Nashville, TN 37217

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Secondary Practice Location 1

Location 1903 Waldkirch AveNashville, TN 37204-2426 · Phone (615) 743-1571

Other Identifiers 1

MedicaidQ033060TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Caylin Cervetti Moen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648525725

PECOS Enrollment IDI20231120002747

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.

Medicare Billing Reassignments

Medicare enrollment records show Caylin Moen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Camino Real Community Mhmr Center

850 mi

Case Management

19965 FM 3175
Lytle, TX 78052

Reassigned Medicare billing, Texas enrollment
152 clinicians in this Medicare group

NPI 1154411262 (210) 357-0300

Clatsop Behavioral Healthcare

2,042 mi

Community/Behavioral Health

65 N HWY 101 SUITE 204
Warrenton, OR 97146

Reassigned Medicare billing, Oregon enrollment
15 clinicians in this Medicare group

NPI 1013925155 (503) 325-0241

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Columbia Memorial Hospital

Critical Access Hospitals · Astoria, OR

OwnershipProprietary

CMS Certification Number381320

Location2111 Exchange StreetAstoria, OR 97103 · Clatsop County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37217 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

MRS. SUSAN HORNE SCHEIBE RN

Registered Nurse