IndividualActive
Brian Moen
NPI 1013553965 · Licensed Practical Nurse · Minneapolis, MN
Provider details
- NPI number
- 1013553965
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 75636-7 (MN)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
433 S 7th St Apt 1923
Minneapolis, MN 55415-1642
Phone: (612) 305-0972
Street-level locationGet directions
Mailing address
10056 Oxborough Rd
Bloomington, MN 55437-2351
Registry dates
- Enumerated
- 2019-11-25
- Last updated
- 2019-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.