DANA WENDY MOZER (FNP) – Family Nurse Practitioner, NPI 1104874262

DANA WENDY MOZER (FNP) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 095006550N1 (OR). The NPI Number for DANA WENDY MOZER (FNP) is 1104874262

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DANA WENDY MOZER (FNP)
NPI
1104874262
Phone
(503) 775-4931
Address
3727 NE MARTIN LUTHER KING JR BLVD
Enumeration Date
4 May 2006
Last Update Date
16 November 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9712581120
Graduation Year
1996 (30 years ago)
PAC ID
7911940895
Group Practice PAC ID
1052565777
Professional Enrollment ID
I20050602000601
Address ID
OR972025344PO6035XAVEX400
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

3,366 NURSE PRACTITIONER in OR

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Provider Addresses for DANA WENDY MOZER (FNP)

  • Planned Parenthood, 3727, Northeast Martin Luther King Junior Boulevard, King, Portland, Multnomah County, Oregon, 97212, United States

    ATTN: CREDENTIALING

    PORTLAND, OR 972121112

    Phone: (503) 775-4931

    Fax: (503) 788-7285

    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: 2005-06-02

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050602000601INurse PractitionerORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97212)

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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: 1052565777View full group profile
NameSpecialtyState
Physician AssistantOR
Family PracticeOR
Physician AssistantOR
Nurse PractitionerWA
Nurse PractitionerOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

How do I look up DANA WENDY MOZER (FNP) by NPI?
Use NPI 1104874262 when you need to reference DANA WENDY MOZER (FNP) in forms, claims, or directories.
Is DANA WENDY MOZER (FNP)'s NPI currently valid?
The extract we use shows DANA WENDY MOZER (FNP) as active.
What kind of provider is DANA WENDY MOZER (FNP)?
The page reflects Family Nurse Practitioner for DANA WENDY MOZER (FNP). Clinical services aligned with this taxonomy classification.
Where does public data place DANA WENDY MOZER (FNP)?
The snapshot lists Portland, Oregon for DANA WENDY MOZER (FNP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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