KATHERINE MOELLER PSY.D., HSPP
NPI 1689050460
Psychologist - Clinical in Fort Wayne, IN

Active since August 04, 2015PECOS EnrolledAccepts Medicare Assignment
2200 LAKE AVE STE 260, FORT WAYNE, IN 46805(260) 424-0411 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1689050460
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKATHERINE MOELLERCredential: PSY.D., HSPP
Location Address2200 LAKE AVE STE 260Fort Wayne, IN 46805-5351
Mailing Address1235 Oak Trail CtFort Wayne, IN 46845-6120
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 4, 2015
Last NPPES UpdateDecember 18, 2020
NPPES CertifiedDecember 18, 2020
NPI 1689050460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IN · 20043410A
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2200 LAKE AVE STE 260, Fort Wayne, IN 46805

Secondary Practice Location 1

Location 11722 S Lewis RdCamarillo, CA 93012-8520 · Phone (805) 366-4040

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9537574785
PECOS Enrollment IDI20210219001997
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 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.

New Patient
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2200 LAKE AVE STE 260
FORT WAYNE, IN 46805
Social Worker (Clinical)
2200 LAKE AVE STE 260
FORT WAYNE, IN 46805
Counselor (Mental Health)
2200 LAKE AVE STE 260
FORT WAYNE, IN 46805
Counselor (Mental Health)
2200 LAKE AVE STE 260
FORT WAYNE, IN 46805
Counselor (Mental Health)
2200 LAKE AVE STE 260
FORT WAYNE, IN 46805
Counselor (Mental Health)
2200 LAKE AVE STE 260
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.

What insurance does Katherine Moeller accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare 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 with the weekly NPPES data releases published by CMS.