KATLIN MARIAH MOODY
NPI 1629853858
Nurse Practitioner - Family in Lancaster, CA

Active since August 28, 2023PECOS Enrolled
44453 16TH ST W STE 101, LANCASTER, CA 93534(661) 816-1330 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2025, Aug 28, 2023 (2 updates tracked since 2023).

About Katlin Mariah Moody NPPES

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

KATLIN MARIAH MOODY (NPI 1629853858) is an individual family provider in Lancaster, California, licensed in California (95035418) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bakersfield, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629853858
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATLIN MARIAH MOODY
Location Address44453 16TH ST W STE 101Lancaster, CA 93534-2883
Mailing Address9001 Stockdale HwyBakersfield, CA 93311-1022 · (661) 654-2505
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 28, 2023
Last NPPES UpdateAugust 28, 20252 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
NPI 1629853858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95035418
44453 16TH ST W STE 101, Lancaster, CA 93534

Secondary Practice Location 1

Location 19001 Stockdale HwyBakersfield, CA 93311-1022 · Phone (661) 654-2505

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katlin Mariah Moody is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759864788
PECOS Enrollment IDI20260309001580
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93534 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Katlin Moody's NPI number?

The NPI number for Katlin Moody is 1629853858. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Katlin Moody located?

Katlin Moody practices at 44453 16th St W Ste 101, Lancaster, CA 93534. The listed phone number is (661) 816-1330.

What is Katlin Moody's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katlin Moody enrolled in Medicare?

Yes. Katlin Moody is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katlin Moody was last updated on August 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.