DR. DESPINA MOISE MD
NPI 1588968556
Psychiatry & Neurology - Child & Adolescent Psychiatry in Logansport, IN

Q: What is Despina Moise's NPI number?

The NPI number for Despina Moise is 1588968556. It was assigned to this individual provider in the NPPES registry on January 5, 2011.

Q: What is Despina Moise's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Despina Moise was last updated on January 5, 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.

Active since January 05, 2011PECOS EnrolledAccepts Medicare Assignment

1015 MICHIGAN AVE, LOGANSPORT, IN 46947(574) 722-5151(574) 739-1414 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Despina Moise Md NPPES

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

DR. DESPINA MOISE MD (NPI 1588968556) is an individual child & adolescent psychiatry provider in Logansport, Indiana, licensed in Indiana (01067082A) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1588968556

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDR. DESPINA MOISECredential: MD

Location Address1015 MICHIGAN AVELogansport, IN 46947-1526

Mailing Address1015 Michigan AveLogansport, IN 46947-1526 · (574) 722-5151 · Fax (574) 739-1414

Phone(574) 722-5151

Fax(574) 739-1414

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJanuary 5, 2011

✔ NPI 1588968556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in IN · 01067082A

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 01067082A (IN)

1015 MICHIGAN AVE, Logansport, IN 46947

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

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

Dr. Despina Moise Md 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 ID3375724024

PECOS Enrollment IDI20151230001520

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.

Medicare Billing Reassignments

Medicare enrollment records show Despina Moise reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Noahs Ark Child & Family Treatment Center Inc

500 mi

Preferred Provider Organization

1728 5TH AVE N
Birmingham, AL 35203

Reassigned Medicare billing, Alabama enrollment
4 clinicians in this Medicare group

NPI 1093122533 (205) 502-7278

Grayson And Associates PC

504 mi

Psychiatry

2200 LAKESHORE DR STE 150
Birmingham, AL 35209

Reassigned Medicare billing, Alabama enrollment
72 clinicians in this Medicare group

NPI 1194772442 (205) 871-6926

Health Care Authority For Baptist Health, An Affiliate Of Uabhs

578 mi

Internal Medicine

301 BROWN SPRINGS RD
Montgomery, AL 36117

Reassigned Medicare billing, Alabama enrollment
439 clinicians in this Medicare group

NPI 1033534524 (334) 273-4159

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

541 services56 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

110 services56 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

95 services53 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

57 services34 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

28 services23 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

27 services27 patients

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.

FOUR COUNTY COMPREHENSIVE MENTAL HEALTH

Counselor (School)

1015 MICHIGAN AVE, MAIN CENTER
LOGANSPORT, IN 46947

Cass County (574) 722-5151

RACHEL ANN CAIN RN

Registered Nurse