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KENDALL EDWARD MOULDS NP
NPI 1194459636
Nurse Practitioner - Psychiatric/Mental Health in San Francisco, CA

Active since July 11, 2022PECOS Enrolled
675 18TH ST, SAN FRANCISCO, CA 94143(415) 476-7000 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 18, 2024, Jul 11, 2022 (2 updates tracked since 2022).

About Kendall Edward Moulds Np NPPES

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

KENDALL EDWARD MOULDS NP (NPI 1194459636) is an individual psychiatric/mental health provider in San Francisco, California, licensed in California (95025132) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194459636
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKENDALL EDWARD MOULDSCredential: NP
Location Address675 18TH STSan Francisco, CA 94143-4200
Mailing Address675 18th StSan Francisco, CA 94143-4200 · (415) 476-7000
Phone(415) 476-7000
Sole ProprietorNo
Enumeration DateJuly 11, 2022
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1194459636 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
License✔ Licensed in CA · 95025132
Also ListedRegistered NurseTaxonomy 163W00000X · License 95127445 (CA)
675 18TH ST, San Francisco, CA 94143
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendall Edward Moulds Np 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.

Medicare Billing Reassignments

2

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

University Of California San Francisco
3.8 mi
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
3.8 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808

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 94143 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

CAROLINE CHIU
Student in an Organized Health Care Education/Training Program
675 18TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7000
TIFFANY ROXANA GHADIMI MD
Psychiatry & Neurology (Psychiatry)
675 18TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7527
DR. TAE UN KIM DO
Psychiatry & Neurology (Psychiatry)
675 18TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7000
MR. DAMON JOHNSON LCSW
Social Worker
675 18TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7000
ELIZABETH CADY SMITH MD
Psychiatry & Neurology (Psychiatry)
675 18TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7527
SARAH DOLAN
Student in an Organized Health Care Education/Training Program
675 18TH ST
SAN FRANCISCO, CA 94143
San Francisco County (628) 588-6399
ERIN ELIZABETH REILLY PHD
Psychologist (Clinical Child & Adolescent)
675 18TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 514-6869
RACHEL N. NIEZRECKI MD
Psychiatry & Neurology (Psychiatry)
675 18TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-7000

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 Kendall Moulds's NPI number?

The NPI number for Kendall Moulds is 1194459636. It was assigned to this individual provider in the NPPES registry on July 11, 2022.

Where is Kendall Moulds located?

Kendall Moulds practices at 675 18th St, San Francisco, CA 94143. The listed phone number is (415) 476-7000.

What is Kendall Moulds's specialty?

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

Is Kendall Moulds enrolled in Medicare?

Yes. Kendall Moulds is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kendall Moulds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendall Moulds reassigns Medicare benefits to 2 organizations: University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each 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 Kendall Moulds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kendall Moulds was last updated on June 18, 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.