Tracy Moe, APRN CNP
Tracy Moe, APRN CNP is a Pediatric Nurse Practitioner in Minneapolis, MN, registered under NPI 1255830774. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 2512 S 7TH ST, 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 |
|---|---|---|
| 5748 | MN | Pediatric Nurse Practitioner primary |
| 171947-1 | MN | Student in an Organized Health Care… |
This provider holds licence 5748 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 - Nurse Practitioner
- PAC ID
- 0446501050
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. 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 Pediatrics covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0200X
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 | |
|---|---|---|---|---|
| 363LP0200X | Pediatric Nurse Practitioner Pediatrics | 5748 | MN | primary |
| 390200000X | Student in an Organized Health Care Education/Training Program | 171947-1 | 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 | 1255830774 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Feb 10, 2018 |
| Last updated | Aug 3, 2018 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | APRN CNP |
| Practice address |
2512 S 7TH ST Minneapolis, MN 55454 (612) 365-6777 Fax (612) 365-8001 |
| Mailing address |
2450 RIVERSIDE AVE Minneapolis, MN 55454 |
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 | 2 | 5 | 5 | 8 | 3 | 0 | 7 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 1 | 5 | 7 | 3 | 0 | 7 | 5 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
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.