MICHELE D MOLDREM MHNP
NPI 1598907545
Nurse Practitioner - Psychiatric/Mental Health in Waterloo, IL

Q: What is Michele Moldrem's NPI number?

The NPI number for Michele Moldrem is 1598907545. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Q: What is Michele Moldrem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Michele Moldrem was last updated on September 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 06, 2009PECOS Enrolled

988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298(619) 393-4444 Get Directions Write a Review

NPPES record last updated: September 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michele D Moldrem Mhnp NPPES

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

MICHELE D MOLDREM MHNP (NPI 1598907545) is an individual psychiatric/mental health provider in Waterloo, Illinois, licensed in Illinois (209018106) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598907545

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMICHELE D MOLDREMCredential: MHNP

Location Address988 N ILLINOIS ROUTE 3Waterloo, IL 62298

Mailing Address988 N Illinois Route 3Waterloo, IL 62298-1059 · (618) 939-4444

Phone(619) 393-4444

Sole ProprietorNo

Enumeration DateApril 6, 2009

Last NPPES UpdateSeptember 28, 2018

✔ NPI 1598907545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in IL · 209018106✔ Licensed in FL · RN9265071

988 N ILLINOIS ROUTE 3, Waterloo, IL 62298

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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)

Michele D Moldrem Mhnp 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.

Areas of Expertise CMS Part B claims 2

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.

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.

139 services46 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62298 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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 20

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

DEBRA WILKERSON LPN

Licensed Practical Nurse