MS. AUDREY MOODY PMHNP-BC
NPI 1740990415
Nurse Practitioner - Psychiatric/Mental Health in Converse, TX
About Ms. Audrey Moody Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. AUDREY MOODY PMHNP-BC (NPI 1740990415) is an individual psychiatric/mental health provider in Converse, Texas, licensed in Texas (1099816) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Group Practice 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
Ms. Audrey Moody Pmhnp-bc 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 Audrey Moody reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Antonio, TX 78217
- Reassigned Medicare billing, Texas 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 78109 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Audrey Moody's NPI number?
The NPI number for Audrey Moody is 1740990415. It was assigned to this individual provider in the NPPES registry on December 2, 2022.
Where is Audrey Moody located?
Audrey Moody practices at 9422 Copperway, Converse, TX 78109. The listed phone number is (210) 322-0191.
What is Audrey Moody's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Audrey Moody enrolled in Medicare?
Yes. Audrey 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 organization bills Medicare for Audrey Moody's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Moody reassigns Medicare benefits to Wits Specialty Clinic PLLC (San Antonio, 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 Audrey Moody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Audrey Moody accept?
Health plans from Oscar Insurance Company, UnitedHealthcare and WellPoint list Audrey 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.
When was this NPI record last updated?
The NPPES record for Audrey Moody was last updated on December 2, 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.
# Ms. Audrey Moody, PMHNP-BC · NPI 1740990415
Psychiatric/Mental Health physician in Converse, Texas. Individual provider, active in the CMS NPPES registry since December 2, 2022.
## Identity
- **NPI:** 1740990415 (Entity type: Individual)
- **Enumerated:** December 2, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 1099816 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9422 COPPERWAY, Converse, TX 78109-2063
- **Phone:** (210) 322-0191
## 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:** Wits Specialty Clinic PLLC (NPI 1528810439, San Antonio, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1740990415) · Data from the CMS NPPES public registry.