KALI JO MOE FNP-C
NPI 1790238160
Nurse Practitioner in Carbondale, IL

Active since August 02, 2016PECOS EnrolledAccepts Medicare Assignment
86.12/100
CMS Quality Rating
1237 E MAIN ST, CARBONDALE, IL 62901(618) 457-2281(618) 351-5625 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2023, Oct 29, 2020, Feb 21, 2019 (3 updates tracked since 2019).

About Kali Jo Moe Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALI JO MOE FNP-C (NPI 1790238160) is an individual nurse practitioner in Carbondale, Illinois, licensed in Illinois (209021379) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Carbondale, and maintains a secondary practice location in Herrin.

NPPES Registry Identity

NPI1790238160
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKALI JO MOECredential: FNP-C
Location Address1237 E MAIN STCarbondale, IL 62901-3148
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Fax(618) 351-5625
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 2, 2016
Last NPPES UpdateSeptember 29, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
NPI 1790238160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209021379
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 340962 (NY)
1237 E MAIN ST, Carbondale, IL 62901

Secondary Practice Location 1

Location 1510 Lincoln DrHerrin, IL 62948-6334 · Phone (618) 997-6800 ext. 1415 · Fax (618) 998-9385

Other Identifiers 1

Medicaid04546549NY

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

Kali Jo Moe Fnp-c 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 ID6103104534
PECOS Enrollment IDI20200901002134
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
93 services62 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.24
Promoting Interoperability95
Improvement Activities40
Cost70.02

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier11 claims11 services$201.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
1237 E MAIN ST
CARBONDALE, IL 62901
Optometrist
1237 E MAIN ST, A-35
CARBONDALE, IL 62901
Surgery
1237 E MAIN ST, STE C1
CARBONDALE, IL 62901
Surgery
1237 E MAIN ST, SUITE C
CARBONDALE, IL 62901
Eyewear Supplier
1237 E MAIN ST, SUITE A35
CARBONDALE, IL 62901

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 Kali Moe's NPI number?

The NPI number for Kali Moe is 1790238160. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Where is Kali Moe located?

Kali Moe practices at 1237 E Main St, Carbondale, IL 62901. The listed phone number is (618) 457-2281.

What is Kali Moe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kali Moe enrolled in Medicare?

Yes. Kali Moe 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.

Is Kali Moe affiliated with any hospitals?

According to CMS data, Kali Moe is affiliated with Memorial Hospital Of Carbondale.

When was this NPI record last updated?

The NPPES record for Kali Moe was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.