DR. MARY D MOLLER DNP, APRN, PMHCNS-BC
NPI 1770582884
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult in Tacoma, WA
About Dr. Mary D Moller Dnp, Aprn, Pmhcns-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARY D MOLLER DNP, APRN, PMHCNS-BC (NPI 1770582884) is an individual psychiatric/mental health, adult provider in Tacoma, Washington, licensed in Washington (AP30003075) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Dr. Mary D Moller Dnp, Aprn, Pmhcns-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 Mary Moller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lakewood, WA 98499
- Reassigned Medicare billing, Washington enrollment
- 11 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98406 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TACOMA, WA 98406
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 Mary Moller's NPI number?
The NPI number for Mary Moller is 1770582884. It was assigned to this individual provider in the NPPES registry on July 20, 2005.
Where is Mary Moller located?
Mary Moller practices at 5929 Westgate Blvd, Tacoma, WA 98406. The listed phone number is (253) 200-0415.
What is Mary Moller's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 364SP0809X.
Is Mary Moller enrolled in Medicare?
Yes. Mary Moller 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 Mary Moller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Moller reassigns Medicare benefits to Rainier Internal Medicine LLC (Lakewood, WA). 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 Mary Moller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mary Moller was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Mary D Moller, DNP, APRN, PMHCNS-BC · NPI 1770582884
Psychiatric/Mental Health, Adult physician in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since July 20, 2005.
## Identity
- **NPI:** 1770582884 (Entity type: Individual)
- **Enumerated:** July 20, 2005
- **Primary specialty:** Clinical Nurse Specialist - Psychiatric/Mental Health, Adult · taxonomy 364SP0809X
- **State license:** AP30003075 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 5929 WESTGATE BLVD, Tacoma, WA 98406-2567
- **Phone:** (253) 200-0415 · **Fax:** (253) 625-7912
## 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:** Rainier Internal Medicine LLC (NPI 1972735157, Lakewood, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1982
## Record status
- **NPPES last updated:** March 14, 2024
- **Other identifiers:** Other 004003 (CT); Other AP30003075 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1770582884) · Data from the CMS NPPES public registry.