MRS. KATRINA EILEEN MOEN (FNP) – Family Nurse Practitioner, NPI 1023364106

MRS. KATRINA EILEEN MOEN (FNP) is a healthcare provider. based in Washougal, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 60301097 (WA). The NPI Number for MRS. KATRINA EILEEN MOEN (FNP) is 1023364106

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATRINA EILEEN MOEN (FNP)
NPI
1023364106
Phone
(360) 882-2778
Address
291 C ST UNIT 110
Enumeration Date
26 July 2012
Last Update Date
27 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3608822778
Graduation Year
2012 (14 years ago)
PAC ID
1850542077
Group Practice PAC ID
3173436490
Professional Enrollment ID
I20181120001921
Address ID
WA986078444CA4500XDRXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for MRS. KATRINA EILEEN MOEN (FNP)

  • 291 C ST UNIT 110

    WASHOUGAL, WA 98671

    Phone: (360) 882-2778

    Fax: (360) 604-1644

    Type: Location

  • 700 NE 87TH AVE

    VANCOUVER, WA 986641913

    Phone: (360) 397-3352

    Fax: (360) 604-1771

    Type: Mailing

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: 2018-11-20

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
I20181120001921INurse PractitionerWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2311$0
36415Insertion of needle into vein for collection of blood sample2116$0
99215Established patient office or other outpatient visit, 40-54 minutes2020$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1414$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 98671)

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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: 3173436490View full group profile
NameSpecialtyState
Physician AssistantTN
Internal Medicine, Infectious DiseasePA
Internal MedicineWA
Diagnostic RadiologyOR
Internal MedicineOR
O P H T H A L M O L O G YIA
-OR
Nurse PractitionerWA
Interventional Cardiology, Cardiovascular Disease (Cardiology)CA
-WA

Reviews

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Frequently asked questions

What identifier follows MRS. KATRINA EILEEN MOEN (FNP) across health systems?
The NPI 1023364106 uniquely identifies MRS. KATRINA EILEEN MOEN (FNP) in U.S. healthcare data.
Does the public listing show MRS. KATRINA EILEEN MOEN (FNP) as active?
MRS. KATRINA EILEEN MOEN (FNP)'s NPI record reflects an active status in NPPES.
What does the directory say MRS. KATRINA EILEEN MOEN (FNP) does?
Insurance directories may phrase it differently, but here MRS. KATRINA EILEEN MOEN (FNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. KATRINA EILEEN MOEN (FNP)?
The directory associates MRS. KATRINA EILEEN MOEN (FNP) with Washougal, Washington. Check all listed addresses for suites or satellite offices.
Why is information missing for MRS. KATRINA EILEEN MOEN (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.