ELIZABETH MOYER (PA-C) – Physician Assistant, NPI 1063173201

ELIZABETH MOYER (PA-C) is a healthcare provider. based in Oakland, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 62377 (CA). The NPI Number for ELIZABETH MOYER (PA-C) is 1063173201

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH MOYER (PA-C)
NPI
1063173201
Phone
Not provided
Address
3100 TELEGRAPH AVE
Enumeration Date
9 January 2022
Last Update Date
30 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5302256000
Graduation Year
2022 (4 years ago)
PAC ID
3173997228
Group Practice PAC ID
2567714090
Professional Enrollment ID
I20230313002557
Address ID
CA960012549RE2175XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for ELIZABETH MOYER (PA-C)

  • 3100 TELEGRAPH AVE

    OAKLAND, CA 946093239

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230313002557IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes165164$0
99291Critical care, first 30-74 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 94609)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567714090View full group profile
NameSpecialtyState
-CA
Hospitalist, Internal Medicine, Osteopathic Manipulative MedicineCA
H O S P I T A L I S TCA
Nurse PractitionerFL
H O S P I T A L I S TCA
Hospitalist, Internal MedicineCA
Internal Medicine, HospitalistCA
Hospitalist, Family PracticeCA
Hospitalist, Family PracticeCA
Physician AssistantCA

Reviews

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Frequently asked questions

Where can patients find ELIZABETH MOYER (PA-C)'s NPI?
You can confirm ELIZABETH MOYER (PA-C) with NPI 1063173201; it appears in the national provider directory.
Does this profile mean ELIZABETH MOYER (PA-C) is currently active?
Yes — ELIZABETH MOYER (PA-C) appears active in the national provider directory.
Can you summarize ELIZABETH MOYER (PA-C)'s specialty in plain language?
Clinically, the directory lists ELIZABETH MOYER (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for ELIZABETH MOYER (PA-C)?
We surface Oakland, California for ELIZABETH MOYER (PA-C) based on available NPPES addresses.
What if Oakland, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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