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COURTNEY L MOELLER PA-C, ATC
NPI 1629531223
Physician Assistant in Edgewood, KY

Active since April 10, 2019
560 S LOOP RD, EDGEWOOD, KY 41017(859) 301-2663 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 3, 2026, Apr 10, 2019 (2 updates tracked since 2019).

About Courtney L Moeller Pa-c, Atc NPPES

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

COURTNEY L MOELLER PA-C, ATC (NPI 1629531223) is an individual physician assistant in Edgewood, Kentucky and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1629531223
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY L MOELLERCredential: PA-C, ATC
Location Address560 S LOOP RDEdgewood, KY 41017-3405
Mailing Address3317 Augusta AveCincinnati, OH 45211-3501 · (419) 509-5802
Phone(859) 301-2663
Sole ProprietorNo
Enumeration DateApril 10, 2019
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1629531223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License AT005336 (OH)
560 S LOOP RD, Edgewood, KY 41017
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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.

DR. MATTHEW JAMES CONNOLLY D.P.M.
Podiatrist
560 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-2663
MR. SPENCER HERBERT COLE MPAS, PA-C
Physician Assistant
560 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-2663
ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE
Orthopaedic Surgery (Sports Medicine)
560 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 817-7500
GAITWELL ORTHOTICS AND PEDORTHICS
Orthotist
560 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-0622
CATHERINE KREMER PA-C
Physician Assistant
560 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-2663
MR. MATTHEW GIESE PA-C
Physician Assistant (Surgical)
560 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-2663
MR. BRANDON PATRICK GRIFFIN D.P.T.
Physical Therapist
560 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 301-2663
ADAM PHILLIP SCHUMAIER MD
Orthopaedic Surgery
560 S LOOP RD
EDGEWOOD, KY 41017
Kenton County (859) 817-3599

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 Courtney Moeller's NPI number?

The NPI number for Courtney Moeller is 1629531223. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Courtney Moeller located?

Courtney Moeller practices at 560 S Loop Rd, Edgewood, KY 41017. The listed phone number is (859) 301-2663.

What is Courtney Moeller'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 Courtney Moeller was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.