DR. NANCY LYNNE MOYER (M.D.) – Internal Medicine Physician, NPI 1508824889

DR. NANCY LYNNE MOYER (M.D.) is a healthcare provider. based in Grand rapids, Minnesota. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35768 (MN). The NPI Number for DR. NANCY LYNNE MOYER (M.D.) is 1508824889

Main info

Female
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. NANCY LYNNE MOYER (M.D.)
NPI
1508824889
Phone
(218) 293-2152
Address
516 S POKEGAMA AVE
Enumeration Date
3 May 2006
Last Update Date
6 December 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
2182092150
Graduation Year
1991 (35 years ago)
PAC ID
9931113289
Group Practice PAC ID
9537546841
Professional Enrollment ID
I20060126000150
Address ID
MN558115501DU1003XENTR400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,636 INTERNAL MEDICINE in MN

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Provider Addresses for DR. NANCY LYNNE MOYER (M.D.)

  • 516, South Pokegama Avenue, Grand Rapids, Itasca County, Minnesota, 55744, United States

    GRAND RAPIDS, MN 557443800

    Phone: (218) 293-2152

    Type: Mailing

  • 3605, Mayfair Avenue, Hibbing, Saint Louis County, Minnesota, 55746, United States

    HIBBING, MN 557462923

    Phone: (218) 262-3441

    Fax: (218) 362-6989

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2023-12-11 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($14).

Total Amount

$53

General + Research + Ownership

Payments

4

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-01-26

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
I20060126000150IInternal MedicineMNTBD

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
97530Therapy procedure using functional activities44132$0
20550Injection into tendon or ligament43622$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes26631$0
20551Injection into tendon at attachment to bone or muscle17813$0
76942Ultrasonic guidance for needle placement16129$0
View full utilization report →

Insurance plans in this area (ZIP 55744)

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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: 9537546841View full group profile
NameSpecialtyState
Nurse PractitionerMN
Certified Registered Nurse Anesthetist (Crna)MN
Nurse PractitionerMN
Nurse PractitionerND
Clinical Social WorkerMN
Nurse PractitionerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Does DR. NANCY LYNNE MOYER (M.D.) have a public NPI I can cite?
Public records show DR. NANCY LYNNE MOYER (M.D.) under NPI 1508824889.
Is DR. NANCY LYNNE MOYER (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. NANCY LYNNE MOYER (M.D.) as active.
What services align with DR. NANCY LYNNE MOYER (M.D.)'s listing?
DR. NANCY LYNNE MOYER (M.D.)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. NANCY LYNNE MOYER (M.D.)?
The directory associates DR. NANCY LYNNE MOYER (M.D.) with Grand Rapids, Minnesota. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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