KIM LARISSA MOELLER MD
NPI 1609626605
Student in an Organized Health Care Education/Training Program in Columbus, OH

Q: What is Kim Moeller's NPI number?

The NPI number for Kim Moeller is 1609626605. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Kim Moeller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Moeller was last updated on March 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2024PECOS Enrolled

376 W. 10TH AVE, 774 PRIOR HALL, COLUMBUS, OH 43210(614) 293-8306 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kim Larissa Moeller Md NPPES

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

KIM LARISSA MOELLER MD (NPI 1609626605) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609626605

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKIM LARISSA MOELLERCredential: MD

Location Address376 W. 10TH AVE, 774 PRIOR HALLColumbus, OH 43210

Mailing Address376 W. 10th Ave, 774 Prior HallColumbus, OH 43210 · (614) 293-8306

Phone(614) 293-8306

Sole ProprietorNo

Enumeration DateMarch 25, 2024

NPPES CertifiedMarch 24, 2024

✔ NPI 1609626605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

376 W. 10TH AVE, Columbus, OH 43210

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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)

Kim Larissa Moeller Md 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.

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