MICHELLE LOMAN MOUDRY PH.D.
NPI 1962819706
Clinical Neuropsychologist in Milwaukee, WI
About Michelle Loman Moudry Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE LOMAN MOUDRY PH.D. (NPI 1962819706) is an individual clinical neuropsychologist in Milwaukee, Wisconsin and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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 (PECOS)
Michelle Loman Moudry Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michelle Loman Moudry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 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.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
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 Michelle Loman Moudry's NPI number?
The NPI number for Michelle Loman Moudry is 1962819706. It was assigned to this individual provider in the NPPES registry on July 14, 2014. The provider is also known as Michelle Loman Ph.D..
Where is Michelle Loman Moudry located?
Michelle Loman Moudry practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-9248.
What is Michelle Loman Moudry's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Michelle Loman Moudry enrolled in Medicare?
Yes. Michelle Loman Moudry is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michelle Loman Moudry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Loman Moudry reassigns Medicare benefits to The Medical College Of Wisconsin, Inc. (Milwaukee, WI). 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 Michelle Loman Moudry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michelle Loman Moudry accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Michelle Loman Moudry 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 Michelle Loman Moudry was last updated on August 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Michelle Loman Moudry, PH.D. · NPI 1962819706
Clinical Neuropsychologist provider in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since July 14, 2014.
## Identity
- **NPI:** 1962819706 (Entity type: Individual)
- **Enumerated:** July 14, 2014
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 9200 W WISCONSIN AVE, Milwaukee, WI 53226-3522
- **Phone:** (414) 805-9248
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1962819706) · Data from the CMS NPPES public registry.