Dr Gretchen A Moen, DNP, APRN, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Saint Paul, Minnesota. Her current practice location is
1057 Grand Ave Fl 2, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 384-1736.
Dr Gretchen A Moen is licensed to practice in Minnesota (license number 2574) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922034933.
Physician's Profile
Full Name | Dr Gretchen A Moen |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 1057 Grand Ave Fl 2, Saint Paul, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922034933
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 07/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 8224942065
- Enrollment ID: I20061201000305
Medical Identifiers
Medical identifiers for Dr Gretchen A Moen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922034933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 2574 (Minnesota) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 2574 (Minnesota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Gretchen A Moen allows following entities to bill medicare on her behalf.
Entity Name | Dakota Child And Family Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124377296 PECOS PAC ID: 2365676244 Enrollment ID: O20131008001181 |
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Entity Name | Open Door Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891740908 PECOS PAC ID: 7012944085 Enrollment ID: O20150930001410 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gretchen A Moen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Gretchen A Moen, DNP, APRN, CPNP 4734 Westminster Cir, Eagan, MN 55122-2756 Ph: (651) 456-0127 | Dr Gretchen A Moen, DNP, APRN, CPNP 1057 Grand Ave Fl 2, Saint Paul, MN 55105-3002 Ph: (651) 384-1736 |
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