MARY K MOODY PA-C
NPI 1427031764
Physician Assistant in Chadron, NE

Active since November 21, 2005
825 CENTENNIAL DR, CHADRON, NE 69337(308) 432-4441(308) 432-2130 Get Directions Write a Review

NPPES record last updated: January 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary K Moody Pa-c NPPES

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

MARY K MOODY PA-C (NPI 1427031764) is an individual physician assistant in Chadron, Nebraska, licensed in Nebraska (722) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1427031764
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY K MOODYCredential: PA-C
Location Address825 CENTENNIAL DRChadron, NE 69337-9400
Mailing AddressPo Box 431Chadron, NE 69337-0431 · (308) 432-4441 · Fax (308) 432-2130
Fax(308) 432-2130
Sole ProprietorNo
Enumeration DateNovember 21, 2005
Last NPPES UpdateJanuary 14, 2011
NPI 1427031764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NE · 722
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
825 CENTENNIAL DR, Chadron, NE 69337

Other Identifiers 3

Medicare ID-Type Unspecified276564NE · Performing Provider #
Medicare ID-Type UnspecifiedP00072221NE · Railroad Medicare #
Medicare UPINS55541NE

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.

Nurse Practitioner (Acute Care)
825 CENTENNIAL DR
CHADRON, NE 69337
Pharmacist
825 CENTENNIAL DR
CHADRON, NE 69337
Physical Therapist
825 CENTENNIAL DR
CHADRON, NE 69337
Family Medicine
825 CENTENNIAL DR
CHADRON, NE 69337
Occupational Therapist
825 CENTENNIAL DR
CHADRON, NE 69337
Clinic/Center (Hearing and Speech)
825 CENTENNIAL DR
CHADRON, NE 69337
Physical Therapy Assistant
825 CENTENNIAL DR
CHADRON, NE 69337
Occupational Therapist
825 CENTENNIAL DR
CHADRON, NE 69337

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 Mary Moody's NPI number?

The NPI number for Mary Moody is 1427031764. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Mary Moody located?

Mary Moody practices at 825 Centennial Dr, Chadron, NE 69337. The listed phone number is (308) 432-4441.

What is Mary Moody's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mary Moody was last updated on January 14, 2011. 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.