MOE MOE
NPI 1841041399
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY
About Moe Moe NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOE MOE (NPI 1841041399) is an individual psychiatric/mental health provider in Syracuse, New York, licensed in New York (F406139-01) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Elizabethtown Community Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Moe Moe 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 Reassignments
2Medicare enrollment records show Moe Moe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 171 clinicians in this Medicare group
Elizabethtown, NY 12932
- Reassigned Medicare billing, New York enrollment
- 25 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Elizabethtown Community Hospital
Critical Access Hospitals · Elizabethtown, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13202 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYRACUSE, NY 13202
SYRACUSE, NY 13202
SYRACUSE, NY 13202
SYRACUSE, NY 13202
SYRACUSE, NY 13202
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 Moe Moe's NPI number?
The NPI number for Moe Moe is 1841041399. It was assigned to this individual provider in the NPPES registry on April 1, 2024.
Where is Moe Moe located?
Moe Moe practices at 600 E Genesee St Ste 217, Syracuse, NY 13202. The listed phone number is (315) 464-3265.
What is Moe Moe's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Moe Moe enrolled in Medicare?
Yes. Moe 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.
Which organizations bill Medicare for Moe Moe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Moe Moe reassigns Medicare benefits to 2 organizations: Psychiatry Faculty Practice, Inc. (Syracuse, NY) and Essex County Treasurer (Elizabethtown, NY). Each 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 Moe Moe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Moe Moe affiliated with any hospitals?
According to CMS data, Moe Moe is affiliated with Elizabethtown Community Hospital.
When was this NPI record last updated?
The NPPES record for Moe Moe was last updated on August 13, 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.
# Moe Moe · NPI 1841041399
Psychiatric/Mental Health physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since April 1, 2024.
## Identity
- **NPI:** 1841041399 (Entity type: Individual)
- **Enumerated:** April 1, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** F406139-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 600 E GENESEE ST STE 217, Syracuse, NY 13202-3108
- **Phone:** (315) 464-3265 · **Fax:** (315) 464-3282
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Psychiatry Faculty Practice, Inc. (NPI 1881084820, Syracuse, NY); Essex County Treasurer (NPI 1659485480, Elizabethtown, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1841041399) · Data from the CMS NPPES public registry.