AMANDA L MOEN PHD
NPI 1720570773
Psychologist in Fort Worth, TX
About Amanda L Moen Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA L MOEN PHD (NPI 1720570773) is an individual psychologist in Fort Worth, Texas, licensed in Texas (38514) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.
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 (PECOS)
Amanda L Moen Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amanda Moen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 30 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.
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.
FORT WORTH, TX 76102
FORT WORTH, TX 76102
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 Amanda Moen's NPI number?
The NPI number for Amanda Moen is 1720570773. It was assigned to this individual provider in the NPPES registry on June 5, 2018.
Where is Amanda Moen located?
Amanda Moen practices at 1300 W Lancaster Ave, Fort Worth, TX 76102. The listed phone number is (682) 303-9200.
What is Amanda Moen's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Amanda Moen enrolled in Medicare?
Yes. Amanda Moen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amanda Moen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Moen reassigns Medicare benefits to Cook Children's Medical Center (Fort Worth, TX). 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 Amanda Moen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Moen accept?
Health plans from Imperial Insurance Companies, Inc. list Amanda Moen 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 Amanda Moen was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.