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MICHAEL J MOLDENHAUER NP-C
NPI 1275837551
Nurse Practitioner - Family in Perryville, MO

Active since December 31, 2010PECOS Enrolled
624 OLD SAINT MARYS RD, SUITE A, PERRYVILLE, MO 63775(573) 547-3232(573) 547-3231 Get Directions Write a Review

NPPES record last updated: December 31, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael J Moldenhauer Np-c NPPES

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

MICHAEL J MOLDENHAUER NP-C (NPI 1275837551) is an individual family provider in Perryville, Missouri, licensed in Missouri (2010040721) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275837551
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL J MOLDENHAUERCredential: NP-C
Location Address624 OLD SAINT MARYS RD, SUITE APerryville, MO 63775-1837
Mailing Address624 Old Saint Marys Rd, Suite APerryville, MO 63775-1837 · (573) 547-3232 · Fax (573) 547-3231
Phone(573) 547-3232
Fax(573) 547-3231
Sole ProprietorNo
Enumeration DateDecember 31, 2010
✔ NPI 1275837551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2010040721
624 OLD SAINT MARYS RD, Perryville, MO 63775
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael J Moldenhauer Np-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63775 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROFESSIONAL CLINICS LLC
Clinic/Center
624 OLD SAINT MARYS RD, SUITE A
PERRYVILLE, MO 63775
Perry County (573) 547-3232
MS. GAYLA ANN DACE RN, BC, FNP
Nurse Practitioner (Family)
624 OLD SAINT MARYS RD, SUITE A
PERRYVILLE, MO 63775
Perry County (573) 547-3232
PROFESSIONAL CLINICS, LLC
Family Medicine
624 OLD SAINT MARYS RD, SUITE A
PERRYVILLE, MO 63775
Perry County (573) 547-3232
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS, LLC
Clinic/Center (Rural Health)
624 OLD SAINT MARYS RD
PERRYVILLE, MO 63775
Perry County (573) 547-3232
KATHLEEN M. ARNZEN FNP
Nurse Practitioner (Family)
624 OLD SAINT MARYS RD, SUITE A
PERRYVILLE, MO 63775
Perry County (573) 547-3232

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 Michael Moldenhauer's NPI number?

The NPI number for Michael Moldenhauer is 1275837551. It was assigned to this individual provider in the NPPES registry on December 31, 2010.

Where is Michael Moldenhauer located?

Michael Moldenhauer practices at 624 Old Saint Marys Rd Suite A, Perryville, MO 63775. The listed phone number is (573) 547-3232.

What is Michael Moldenhauer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Moldenhauer enrolled in Medicare?

Yes. Michael Moldenhauer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Moldenhauer was last updated on December 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.