Amy Renee Moser, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Baudette, Minnesota. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
600 Main Ave S, Baudette, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 634-3400.
Amy Renee Moser is licensed to practice in Minnesota (license number 12942) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1104716984.
Provider's Profile
| Full Name | Amy Renee Moser |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 1 Years |
|---|
| Location | 600 Main Ave S, Baudette, Minnesota |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Amy Renee Moser graduated from nursing school in 2025
NPI Data:
- NPI Number: 1104716984
- Provider Enumeration Date: 07/03/2025
- Last Update Date: 07/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 9739672692
- Enrollment ID: I20251201001328
Medical Identifiers
Medical identifiers for Amy Renee Moser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104716984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 12942 (Minnesota) | Primary |
Medical Facilities Affiliation
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. Amy Renee Moser allows following entities to bill medicare on her behalf.
| Entity Name | Lakewood Health Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1972799237
PECOS PAC ID: 5698687929
Enrollment ID: O20031104000469 |
|---|
| Entity Name | Lakewood Health Center |
|---|
| Entity Type | Part A Provider - Critical Access Hospital |
|---|
| Entity Identifiers | NPI Number: 1922072776
PECOS PAC ID: 5698687929
Enrollment ID: O20080118000179 |
|---|
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. Amy Renee Moser 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 |
|---|
Amy Renee Moser, PMHNP
510 1st St Nw Apt 10,
Baudette, MN 56623-2755
Ph: (218) 684-4009 | Amy Renee Moser, PMHNP
600 Main Ave S,
Baudette, MN 56623-2855
Ph: (218) 634-3400 |
Reviews and Comments