KATHRYN MARIE MOEN MD
NPI 1215915970
Pediatrics - Neonatal-Perinatal Medicine in La Crosse, WI

Q: 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.

Q: What is Kathryn Moen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: 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.

Active since January 04, 2006PECOS Enrolled

1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: May 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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

NPI1215915970

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameKATHRYN MARIE MOENCredential: MD

Location Address1836 SOUTH AVELa Crosse, WI 54601-5429

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(608) 782-7300

Sole ProprietorNo

Enumeration DateJanuary 4, 2006

Last NPPES UpdateMay 18, 2017

✔ NPI 1215915970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in WI · 39141✔ Licensed in CO · 41211

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

1836 SOUTH AVE, La Crosse, WI 54601

Open in Google Maps ↗

Other Names 1

Former Name (1)Kathryn Marie Richmond Md

Other Identifiers 2

Medicare UPINH72213

Medicaid026524384CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Marie Moen Md 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.

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.

JEFFREY BRIAN TROHKIMOINEN M.D.

Anesthesiology

1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601

La Crosse County (608) 775-2031

JESSICA E THESING CRNA

Nurse Anesthetist, Certified Registered