DIANA MOODY
NPI 1639508922
Nurse Practitioner - Family in Virginia, MN
About Diana Moody NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANA MOODY (NPI 1639508922) is an individual family provider in Virginia, Minnesota, licensed in Minnesota (R186700-6) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Diana Moody 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.
Medicare Billing Reassignments
3Medicare enrollment records show Diana Moody reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Virginia, MN 55792
- Reassigned Medicare billing, Minnesota enrollment
- 171 clinicians in this Medicare group
Virginia, MN 55792
- Reassigned Medicare billing, Minnesota enrollment
- 1,460 clinicians in this Medicare group
Aurora, MN 55705
- Reassigned Medicare billing, Minnesota enrollment
- 136 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Mary's Medical Center
Acute Care Hospitals · Duluth, MNEssentia Health Virginia
Acute Care Hospitals · Virginia, MNEssentia Health Northern Pines Medical Center
Critical Access Hospitals · Aurora, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
VIRGINIA, MN 55792
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 Diana Moody's NPI number?
The NPI number for Diana Moody is 1639508922. It was assigned to this individual provider in the NPPES registry on November 6, 2013.
Where is Diana Moody located?
Diana Moody practices at 1101 9th St N Essentia Health Virginia Clinic, Virginia, MN 55792. The listed phone number is (218) 741-0150.
What is Diana Moody's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Diana Moody enrolled in Medicare?
Yes. Diana Moody is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Diana Moody's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Diana Moody reassigns Medicare benefits to 3 organizations: Essentia Health Virginia, LLC (Virginia, MN), The Duluth Clinic, Ltd (Virginia, MN) and Northern Pines Medical Center (Aurora, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diana Moody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Diana Moody accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and Security Health Plan list Diana Moody as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Diana Moody affiliated with any hospitals?
According to CMS data, Diana Moody is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Virginia and Essentia Health Northern Pines Medical Center.
When was this NPI record last updated?
The NPPES record for Diana Moody was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Diana Moody · NPI 1639508922
Family physician in Virginia, Minnesota. Individual provider, active in the CMS NPPES registry since November 6, 2013.
## Identity
- **NPI:** 1639508922 (Entity type: Individual)
- **Enumerated:** November 6, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R186700-6 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1101 9TH ST N, ESSENTIA HEALTH VIRGINIA CLINIC, Virginia, MN 55792-2329
- **Phone:** (218) 741-0150
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Essentia Health Virginia, LLC (NPI 1083617120, Virginia, MN); The Duluth Clinic, Ltd (NPI 1538506894, Virginia, MN); Northern Pines Medical Center (NPI 1881954147, Aurora, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** November 6, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1639508922) · Data from the CMS NPPES public registry.