TRACY ANN MOE APRN CNP
NPI 1255830774
Nurse Practitioner - Pediatrics in Minneapolis, MN

Active since February 10, 2018PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
2512 S 7TH ST, MINNEAPOLIS, MN 55454(612) 365-6777(612) 365-8001 Get Directions Write a Review

NPPES record last updated: August 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracy Ann Moe Aprn Cnp NPPES

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

TRACY ANN MOE APRN CNP (NPI 1255830774) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (5748) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1255830774
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTRACY ANN MOECredential: APRN CNP
Location Address2512 S 7TH STMinneapolis, MN 55454
Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450 · (612) 273-0491 · Fax (612) 273-0881
Fax(612) 365-8001
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 10, 2018
Last NPPES UpdateAugust 3, 2018
NPI 1255830774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MN · 5748
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 171947-1 (MN)
2512 S 7TH ST, Minneapolis, MN 55454

Secondary Practice Locations 2

Location 1909 Fulton St SEMinneapolis, MN 55455-4800 · Phone (612) 672-7422
Location 22450 Riverside AveMinneapolis, MN 55454-1450 · Phone (612) 273-0491 · Fax (612) 273-0881

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tracy Ann Moe Aprn Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446501050
PECOS Enrollment IDI20180920002382
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers11 claims11 services$11.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics (Pediatric Nephrology)
2512 S 7TH ST, PEDIATRIC SPECIALTY CARE
MINNEAPOLIS, MN 55454
Occupational Therapist
2512 S 7TH ST
MINNEAPOLIS, MN 55454
Physical Therapist
2512 S 7TH ST
MINNEAPOLIS, MN 55454
Psychologist (Clinical Child & Adolescent)
2512 S 7TH ST
MINNEAPOLIS, MN 55454
Pharmacy (Specialty Pharmacy)
2512 S 7TH ST, STE 105
MINNEAPOLIS, MN 55454
Pediatrics (Pediatric Gastroenterology)
2512 S 7TH ST
MINNEAPOLIS, MN 55454
Physical Therapist
2512 S 7TH ST
MINNEAPOLIS, MN 55454
Nurse Practitioner (Pediatrics)
2512 S 7TH ST
MINNEAPOLIS, MN 55454

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 Tracy Moe's NPI number?

The NPI number for Tracy Moe is 1255830774. It was assigned to this individual provider in the NPPES registry on February 10, 2018.

Where is Tracy Moe located?

Tracy Moe practices at 2512 S 7th St, Minneapolis, MN 55454. The listed phone number is (612) 365-6777.

What is Tracy Moe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Tracy Moe enrolled in Medicare?

Yes. Tracy Moe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tracy Moe accept?

Health plans from Medica and Sanford Health Plan list Tracy Moe 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 Tracy Moe was last updated on August 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.