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Daniel John Moen , MA

Psychologist β€’ Duluth, MN

Active NPI 1952352973 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

220 N 6th Ave E
Duluth, MN 558051952

Call 2182497000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

220 N 6th Ave E

Duluth, MN 558051952

Telephone 2182497000
Organization at the Same NPPES Address or Phone
St. Luke's Hospital Of Duluth Facility NPI 1184678880

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: St. Luke'S Hospital Of Duluth. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1995

Years since graduation

31 years (graduated 1995)

CMS Doctors and Clinicians data list 1995 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Daniel Moen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Duluth and Minnesota

62 active clinicians are listed under Psychologist with a practice address in Duluth, MN (1,694 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Duluth

6.5% of these 62 clinicians have the CMS telehealth indicator.

16.1% of these 62 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MN LP3320

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
714572100 (MN)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PSYCHOLOGIST BILLING INDEPENDENTLY

Medicare Enrollment ID

I20260310000058

Enrollment State Jurisdiction

MN

PECOS Control ID

3375026354

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

St. Luke's Hospital Of Duluth

220 N 6th Ave E, Duluth, MN 558051952

Phone: 2182497000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
Dr. David Baldes , MD

Psychiatry & Neurology - Psychiatry

NPI 1821223025

Doctor of Medicine (M.D.)

Diane Brazill , MSW

Social Worker - Clinical

NPI 1467602623

Master of Social Work

Meghan Ceynowa , NP

Nurse Practitioner

NPI 1235439761

Nurse Practitioner

Dr. Judith Christianson , MD

Psychiatry & Neurology - Psychiatry

NPI 1275797284

Doctor of Medicine (M.D.)

Rachel Deluca , CNP, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1215698592

Certified Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Calli Fischer , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1558086470

Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active September 14, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location September 14, 2017

Registered at 220 N 6TH AVE E, DULUTH, MN 558051952 (Tel: 2182497000)

πŸ“
Updated Business Mailing Address September 14, 2017

Registered at 220 N 6TH AVE E, DULUTH, MN 558051952 (Tel: 2182497000)

πŸ‘€
Provider Name / Credentials Updated September 14, 2017

Recorded as DANIEL MOEN, MA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2017

Psychologist (license number reported to NPPES: MN LP3320)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 220 N 6TH AVE E, DULUTH, MN 558051952 (Tel: 2182497000)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 220 N 6TH AVE E, DULUTH, MN 558051952 (Tel: 2182497000)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as DANIEL MOEN, MA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (license number reported to NPPES: MN LP3320)

🟒
Initial NPI Registration & Enumeration May 15, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1952352973
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2006
Last Update: September 14, 2017
Sole Proprietor: No

Other Psychologists in Duluth

Healthcare providers in Duluth

Mailing Address

220 N 6th Ave E

Duluth, MN 558051952

Phone: 2182497000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.