KATHERINE MOELLER PSY.D., HSPP
NPI 1689050460
Psychologist - Clinical in Fort Wayne, IN
About Katherine Moeller Psy.d., Hspp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE MOELLER PSY.D., HSPP (NPI 1689050460) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (20043410A) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Camarillo, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Katherine Moeller Psy.d., Hspp 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 Reassignment
Medicare enrollment records show Katherine Moeller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46845
- Reassigned Medicare billing, Indiana enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
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 Katherine Moeller's NPI number?
The NPI number for Katherine Moeller is 1689050460. It was assigned to this individual provider in the NPPES registry on August 4, 2015.
Where is Katherine Moeller located?
Katherine Moeller practices at 2200 Lake Ave Ste 260, Fort Wayne, IN 46805. The listed phone number is (260) 424-0411.
What is Katherine Moeller's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Katherine Moeller enrolled in Medicare?
Yes. Katherine Moeller 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 organization bills Medicare for Katherine Moeller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Moeller reassigns Medicare benefits to Cedar Creek Psychological Services LLC (Fort Wayne, IN). The 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 Katherine Moeller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Moeller accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Katherine Moeller 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.
When was this NPI record last updated?
The NPPES record for Katherine Moeller was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Katherine Moeller, PSY.D., HSPP · NPI 1689050460
Clinical provider in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since August 4, 2015.
## Identity
- **NPI:** 1689050460 (Entity type: Individual)
- **Enumerated:** August 4, 2015
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 20043410A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2200 LAKE AVE STE 260, Fort Wayne, IN 46805-5351
- **Phone:** (260) 424-0411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Cedar Creek Psychological Services LLC (NPI 1316542830, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 18, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1689050460) · Data from the CMS NPPES public registry.