KATIE L MOE CRNA
NPI 1467405936
Nurse Anesthetist, Certified Registered in Edina, MN
About Katie L Moe Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATIE L MOE CRNA (NPI 1467405936) is an individual nurse anesthetist, certified registered in Edina, Minnesota, licensed in Minnesota (R1404472) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katie L Moe Crna 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.
Medicare Billing Reassignment
Medicare enrollment records show Katie Moe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 118 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
EDINA, MN 55435
EDINA, MN 55435
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 Katie Moe's NPI number?
The NPI number for Katie Moe is 1467405936. It was assigned to this individual provider in the NPPES registry on May 18, 2006.
Where is Katie Moe located?
Katie Moe practices at 6401 France Ave S, Edina, MN 55435. The listed phone number is (952) 924-5000.
What is Katie Moe's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Katie Moe enrolled in Medicare?
Yes. Katie 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.
Which organization bills Medicare for Katie Moe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katie Moe reassigns Medicare benefits to Southdale Anesthesiologists, LLC (Edina, MN). The 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 Katie Moe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katie Moe was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Katie L Moe, CRNA · NPI 1467405936
Nurse Anesthetist, Certified Registered physician in Edina, Minnesota. Individual provider, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1467405936 (Entity type: Individual)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R1404472 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6401 FRANCE AVE S, Edina, MN 55435-2104
- **Phone:** (952) 924-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Southdale Anesthesiologists, LLC (NPI 1154381804, Edina, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** May 19, 2008
- **Other identifiers:** Medicare ID-Type Unspecified 430004550 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1467405936) · Data from the CMS NPPES public registry.