MICHEAL ALLAN MOISANT (D.O.) – Family Medicine Physician, NPI 1063463800

Family Medicine Physician

MICHEAL ALLAN MOISANT (D.O.) is a healthcare provider. based in Fort worth, Texas. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. K7585 (TX). The NPI Number for MICHEAL ALLAN MOISANT (D.O.) is 1063463800

Main info

Male

29 Years Of Experience

Accepts Medicare Assignment

Name

MICHEAL ALLAN MOISANT (D.O.)

NPI

1063463800

Phone

(817) 740-8450

Address

P.O. BOX 961205

Enumeration Date

15 May 2006

Last Update Date

8 November 2019

Doctor Profile

Medical School Name

UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED

Secondary Phone

4795531000

Graduation Year

1997 (29 years ago)

PAC ID

1355330499

Group Practice PAC ID

1052759263

Professional Enrollment ID

I20250415001826

Address ID

AR727123217BE3000XPKWY400

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

8,705 FAMILY PRACTICE in TX

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Provider Addresses for MICHEAL ALLAN MOISANT (D.O.)

P.O. BOX 961205
FORT WORTH, TX 761611205
Phone: (817) 740-8450
Type: Mailing
4412, Kell West Boulevard, Wichita Falls, Wichita County, Texas, 76309, United States
WICHITA FALLS, TX 763094719
Phone: (940) 696-0011
Fax: (940) 696-2248
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: 2025-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

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
I20040512000467	I	Family Practice	TX	TBD
I20200929002720	I	Family Practice	NV	TBD
I20250415001826	I	Emergency Medicine	AR	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.

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 76161)

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Provider's Procedures

MICHEAL ALLAN MOISANT (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
FAMILY MEDICINE	TX	73630	X-ray of foot, minimum of 3 views	13	12
FAMILY MEDICINE	TX	81002	Urinalysis, manual test	47	44
FAMILY MEDICINE	TX	90670	Pneumococcal vaccine for injection into muscle	18	18

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: 1052759263View full group profile

Name	Specialty	State
MR. COLTON MICHAEL BITELY (MD)	Emergency Medicine	OH
DR. GEORGE BARNES II BLOOM (MD)	Internal Medicine	AR
MR. LANCE LEE HAMILTON (M.D.)	Internal Medicine	AR
DR. JACOB P MUMM (M.D.)	Emergency Medicine	TX
HALLIE ELIZABETH ENGLAND (APRN-CNP)	Nurse Practitioner	AR
DR. DREW WATSON SMITHERS (D.O.)	Internal Medicine, Family Practice, Emergency Medicine	AR
KIMBERLY MICHELLE BROWN (MD)	Emergency Medicine	TN
DR. COLTON BATTEN (DO)	Family Practice, Emergency Medicine	AR
ALBERTO GOMEZ (MD)	Internal Medicine, Family Practice	MO
RUSSELL VAN STROUD (ACNP)	Nurse Practitioner	AR

Reviews

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Frequently asked questions

What is the registry number for MICHEAL ALLAN MOISANT (D.O.)?

The registry entry for MICHEAL ALLAN MOISANT (D.O.) shows NPI 1063463800.

Does the public listing show MICHEAL ALLAN MOISANT (D.O.) as active?

MICHEAL ALLAN MOISANT (D.O.)'s NPI record reflects an active status in NPPES.

What does the directory say MICHEAL ALLAN MOISANT (D.O.) does?

Insurance directories may phrase it differently, but here MICHEAL ALLAN MOISANT (D.O.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.

Which community is linked to MICHEAL ALLAN MOISANT (D.O.)?

MICHEAL ALLAN MOISANT (D.O.) shows a connection to Fort Worth, Texas in registry-derived data.

Can I export MICHEAL ALLAN MOISANT (D.O.)'s record?

You can download the official NPPES record; we summarize key fields for readability.