KATHRYN MARIE MOEN MD
NPI 1215915970
Pediatrics - Neonatal-Perinatal Medicine in La Crosse, WI
About Kathryn Marie Moen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN MARIE MOEN MD (NPI 1215915970) is an individual neonatal-perinatal medicine provider in La Crosse, Wisconsin, licensed in Wisconsin (39141) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Kathryn Marie Moen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Kathryn Moen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 928 clinicians in this Medicare group
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 clinicians in this Medicare group
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 1,003 clinicians in this Medicare group
Black River Falls, WI 54615
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1811940331 (Wisconsin)
- 227 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.
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.
LA CROSSE, WI 54601
LA CROSSE, WI 54601
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 Kathryn Moen's NPI number?
The NPI number for Kathryn Moen is 1215915970. It was assigned to this individual provider in the NPPES registry on January 4, 2006. The provider is also known as Kathryn Marie Richmond MD.
Where is Kathryn Moen located?
Kathryn Moen practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.
What is Kathryn Moen's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.
Is Kathryn Moen enrolled in Medicare?
Yes. Kathryn Moen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kathryn Moen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Moen reassigns Medicare benefits to 4 organizations: Gundersen Clinic Ltd (La Crosse, WI), Gundersen Lutheran Medical Center, Inc (La Crosse, WI), Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI) and Black River Health Inc (Black River Falls, WI). 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 Kathryn Moen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathryn Moen accept?
Health plans from Aspirus Health Plan, HealthPartners and Quartz list Kathryn Moen 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 Kathryn Moen was last updated on May 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kathryn Marie Moen, MD · NPI 1215915970
Neonatal-Perinatal Medicine physician in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since January 4, 2006.
## Identity
- **NPI:** 1215915970 (Entity type: Individual)
- **Enumerated:** January 4, 2006
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** 39141 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1836 SOUTH AVE, La Crosse, WI 54601-5429
- **Phone:** (608) 782-7300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Gundersen Clinic Ltd (NPI 1851343115, La Crosse, WI); Gundersen Lutheran Medical Center, Inc (NPI 1619210895, La Crosse, WI); Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (NPI 1629056049, La Crosse, WI); Black River Health Inc (NPI 1003914011, Black River Falls, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2017
- **Other identifiers:** Medicare UPIN H72213; Medicaid 026524384 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1215915970) · Data from the CMS NPPES public registry.