MISTY DAWN MONIZ LMSW
NPI 1194440453
Social Worker in Pocatello, ID
About Misty Dawn Moniz Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISTY DAWN MONIZ LMSW (NPI 1194440453) is an individual social worker in Pocatello, Idaho, licensed in Idaho (LMSW-41670) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Misty Dawn Moniz Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Misty Moniz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ammon, ID 83406
- Reassigned Medicare billing, Idaho enrollment
- 45 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.
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 Misty Moniz's NPI number?
The NPI number for Misty Moniz is 1194440453. It was assigned to this individual provider in the NPPES registry on October 10, 2022.
Where is Misty Moniz located?
Misty Moniz practices at 110 E Walnut St, Pocatello, ID 83201. The listed phone number is (208) 549-7246.
What is Misty Moniz's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Misty Moniz enrolled in Medicare?
Yes. Misty Moniz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Misty Moniz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Misty Moniz reassigns Medicare benefits to Pearl Health Clinic (Ammon, ID). 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 Misty Moniz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Misty Moniz accept?
Health plans from Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Misty Moniz 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 Misty Moniz was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Misty Dawn Moniz, LMSW · NPI 1194440453
Social Worker provider in Pocatello, Idaho. Individual provider, active in the CMS NPPES registry since October 10, 2022.
## Identity
- **NPI:** 1194440453 (Entity type: Individual)
- **Enumerated:** October 10, 2022
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** LMSW-41670 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 110 E WALNUT ST, Pocatello, ID 83201-4570
- **Phone:** (208) 549-7246
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
- **Bills Medicare through:** Pearl Health Clinic (NPI 1447426465, Ammon, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1194440453) · Data from the CMS NPPES public registry.