Amanda Moen, MD
Amanda Moen, MD is a Neurology with Special Qualifications in Child Neurology Physician in Minneapolis, MN, registered under NPI 1154563401.
Getting there
The practice address on file is 2450 RIVERSIDE AVE, Minneapolis, MN 55454. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 58414 | MN | Neurology with Special Qualifications in… primary |
| 107634 | MN | Neurology with Special Qualifications in… |
This provider holds licence 58414 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Neurology
- PAC ID
- 2860714003
Medicare enrolment is recorded as approved under the provider type Practitioner - Neurology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Neurology with Special Qualifications in Child Neurology covers
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. NUCC Health Care Provider Taxonomy, code 2084N0402X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician Neurology with Special Qualifications in Child Neurology | 58414 | MN | primary |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician Neurology with Special Qualifications in Child Neurology | 107634 | MN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1154563401 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 1, 2009 |
| Last updated | Apr 4, 2019 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
2450 RIVERSIDE AVE Minneapolis, MN 55454 (612) 365-6777 Fax (612) 365-8021 |
| Mailing address |
200 UNIVERSITY AVE E Saint Paul, MN 55101 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 5 | 4 | 5 | 6 | 3 | 4 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 1 | 4 | 1 | 6 | 6 | 4 | 0 |
Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.