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Grant Moen
NPI 1164355780 · Physician Assistant · Mesa, AZ
Grant Moen is a Physician Assistant provider in Mesa, AZ (NPI 1164355780).
Provider details
- NPI number
- 1164355780
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Basic profile(46/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% 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
5850 E Still Cir
Mesa, AZ 85206-3618
Phone: (501) 249-4158
Street-level locationGet directions
Mailing address
22856 E Indiana Ave
Queen Creek, AZ 85142-2219
Registry dates
- Enumerated
- 2026-06-04
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Frequently asked questions
- What is Grant Moen's NPI number?
- Grant Moen's National Provider Identifier (NPI) is 1164355780, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Grant Moen's specialty?
- Grant Moen is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Grant Moen located?
- Grant Moen's practice location on file with NPPES is 5850 E Still Cir, Mesa, AZ 85206-3618.
- What is Grant Moen's phone number?
- The practice phone number listed in the NPPES registry for Grant Moen is (501) 249-4158.
- Is Grant Moen's NPI active?
- Yes — Grant Moen's NPI (1164355780) is active in the NPPES registry as of the last update on 2026-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.