MRS. CASSANDRA BARBARA MOYLAN (MD) – Emergency Medicine Physician, NPI 1053987651
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,172 EMERGENCY MEDICINE in MN
Provider Addresses for MRS. CASSANDRA BARBARA MOYLAN (MD)
3930 Northwoods Dr
Arden Hills, MN 551126963
Phone: (952) 853-8800
Type: Location
15350 English Ave
Apple Valley, MN 551246252
Phone: (952) 853-8800
Type: Location
200 Hawkins Dr
Iowa City, IA 522421009
Phone: (319) 384-6511
Type: Location
1500 Curve Crest Blvd W
Stillwater, MN 550826040
Phone: (952) 853-8800
Type: Location
8450 Seasons Pkwy
Woodbury, MN 551254402
Phone: (952) 853-8800
Type: Location
200 HAWKINS DR
IOWA CITY, IA 522421009
Phone: (319) 384-6511
Type: Location
205 WABASHA ST S
SAINT PAUL, MN 551071805
Phone: (952) 853-8800
Type: Location
2500 Como Ave
Saint Paul, MN 551081460
Phone: (952) 853-8800
Type: Location
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: 2024-07-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240702003273 | I | Emergency Medicine | MN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | WI | |
| - | MN | |
| Vascular Surgery | IL | |
| Internal Medicine | MN | |
| - | MN | |
| Diagnostic Radiology, Interventional Radiology | MN | |
| - | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| - | MN | |
| Vascular Surgery | MN |
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