HEIDI MOODY
NPI 1982217162
Physician Assistant in Tulsa, OK

Q: What is Heidi Moody's NPI number?

The NPI number for Heidi Moody is 1982217162. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Q: What is Heidi Moody's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Heidi Moody was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 26, 2020PECOS EnrolledAccepts Medicare Assignment

6161 S YALE AVE, TULSA, OK 74136(469) 420-5544 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2025, Aug 26, 2020 (2 updates tracked since 2020).

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About Heidi Moody NPPES

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

HEIDI MOODY (NPI 1982217162) is an individual physician assistant in Tulsa, Oklahoma and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1982217162

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHEIDI MOODY

Location Address6161 S YALE AVETulsa, OK 74136-1902

Mailing Address14204 N 76th East AveCollinsville, OK 74021-4914 · (918) 206-5618

Phone(469) 420-5544

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 26, 2020

Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration

NPPES CertifiedDecember 30, 2025

✔ NPI 1982217162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6161 S YALE AVE, Tulsa, OK 74136

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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

Heidi Moody 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 ID9638658677

PECOS Enrollment IDI20260210000689

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ALEX BRYAN OLSEN M.D.

Surgery (Surgical Critical Care)