Active NPI 1790238160 Individual Practitioner Female Practitioner

Kali Jo Moe , FNP-C

Nurse Practitioner • Carbondale, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kali Moe, FNP-C is a certified Nurse Practitioner practicing in Carbondale, IL. With approximately 10 years of clinical experience since completing medical education in 2016, Kali Moe delivers high-quality medical care to the local community at 1237 E MAIN ST.

Kali Moe is affiliated with Southern Illinois Medical Services Nfp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1237 E Main St

Carbondale, IL 629013148

Telephone 6184572281

Fax 6183515625

Associated Practice Facility / Clinic

🏢 Visionworks Inc Facility NPI 1922182187

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Carbondale, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +1.5 yrs vs City Avg

City Avg: 8.5 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

64 Specialists

Practicing in Carbondale, IL (4929 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moe (10 Years) 10 Yrs

Carbondale Specialty Average (8.5 Years) 8.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	93	62	$143.55	$73.80
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	83	61	$29.86	$13.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$202.00	$104.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$178.69	$91.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	497	381	$302.00	$73.60
77080 Dxa bone density measurement of hip, pelvis, spine	216	207	$325.00	$9.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	92	$426.00	$104.57
73630 X-ray of foot, minimum of 3 views	64	38	$157.78	$8.90
73562 X-ray of knee, 3 views	58	55	$139.88	$8.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$375.00	$91.04
36415 Insertion of needle into vein for collection of blood sample	40	38	$25.00	$8.40
73610 X-ray of ankle, minimum of 3 views	35	25	$159.43	$10.31
72110 X-ray of lower and sacral spine, minimum of 4 views	34	34	$230.00	$10.35
73502 X-ray of hip, 2-3 views	25	25	$153.00	$10.08
73030 X-ray of shoulder, minimum of 2 views	25	25	$157.92	$9.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$187.00	$45.83
72050 X-ray of upper spine, 4 or 5 views	13	13	$250.00	$13.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,501	26	$38.40	$20.36
99213 Established patient office or other outpatient visit, typically 15 minutes	671	468	$302.00	$75.07
77080 Dxa bone density measurement of hip, pelvis, spine	263	263	$325.00	$25.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	201	$426.00	$105.67
36415 Insertion of needle into vein for collection of blood sample	130	107	$25.00	$2.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$375.00	$92.21
77085 Bone density measurement using dedicated x-ray machine	71	70	$400.00	$38.08
73562 X-ray of knee, 3 views	58	57	$144.47	$9.24
73630 X-ray of foot, minimum of 3 views	30	23	$153.00	$7.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	27	$60.00	$11.81
72110 X-ray of lower and sacral spine, minimum of 4 views	28	27	$230.00	$11.49
73502 X-ray of hip, 2-3 views	24	23	$153.00	$12.56
73610 X-ray of ankle, minimum of 3 views	19	17	$163.16	$7.54
73030 X-ray of shoulder, minimum of 2 views	16	16	$158.63	$8.66
73110 X-ray of wrist, minimum of 3 views	11	11	$170.00	$7.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	8,160	102	$38.65	$20.26
99213 Established patient office or other outpatient visit, typically 15 minutes	526	398	$140.00	$75.87
77080 Dxa bone density measurement of hip, pelvis, spine	225	224	$325.00	$20.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	197	$200.00	$107.23
77085 Bone density measurement using dedicated x-ray machine	129	128	$400.00	$23.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	125	94	$60.00	$11.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$225.00	$93.65
73552 X-ray of thigh bone, minimum 2 views	13	13	$125.54	$21.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	257	100	$70.00	$20.82
99213 Established patient office or other outpatient visit, typically 15 minutes	158	71	$100.00	$41.75
99213 Established patient office or other outpatient visit, typically 15 minutes	124	119	$139.35	$61.90
77080 Dxa bone density measurement of hip, pelvis, spine	87	87	$325.00	$8.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	41	$200.00	$89.34
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$115.00	$42.13
77085 Bone density measurement using dedicated x-ray machine	30	30	$400.00	$12.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$175.00	$62.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	190	84	$100.00	$42.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	47	$70.00	$20.84
95117 Professional service for multiple injections of allergen	41	21	$35.00	$8.61
94010 Test to measure expiratory airflow and volume	40	33	$75.00	$29.12
99213 Established patient office or other outpatient visit, typically 15 minutes	40	34	$100.00	$61.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$175.00	$63.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	1,861	23	$10.00	$4.42
95165 Professional service for preparation and provision of 1 or more antigens	650	30	$20.00	$11.10
95024 Injection of allergenic extracts into skin for immediate reaction analysis	466	21	$25.00	$6.84
95117 Professional service for multiple injections of allergen	313	57	$35.00	$8.59
94010 Test to measure expiratory airflow and volume	220	101	$75.00	$30.63
99213 Established patient office or other outpatient visit, typically 15 minutes	167	85	$100.00	$62.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	60	$175.00	$92.40
94664 Evaluation of use of breathing device	55	51	$50.00	$14.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	1,501	63	$20.00	$10.54
95004 Test for allergy using allergenic extract	1,043	15	$10.00	$5.34
95117 Professional service for multiple injections of allergen	300	49	$35.00	$8.18
95024 Injection of allergenic extracts into skin for immediate reaction analysis	237	11	$25.00	$6.20
94010 Test to measure expiratory airflow and volume	182	83	$75.00	$28.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	65	$175.00	$87.93
99213 Established patient office or other outpatient visit, typically 15 minutes	128	64	$100.00	$59.62
94664 Evaluation of use of breathing device	88	71	$50.00	$13.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	12	$70.00	$35.45

Medical Specialties & State Licenses

CMS Verified: 2025-09-29

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209021379

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License NY 340962

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

04546549 (NY)

Hospital & Practice Group Affiliations

Southern Illinois Medical Services Nfp

1237 E Main St, Carbondale, IL 629013148

Phone: 6184572281

Secondary Practice Locations

510 Lincoln Dr

Herrin, IL 629486334

Phone: 6189976800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Jamie Hultgren , FNP-BC

Nurse Practitioner

NPI 1114563368

Family Nurse Practitioner (Board Certified)

Dr. Cynthia Aks , DO

Surgery

NPI 1164412656

Doctor of Osteopathic Medicine (D.O.)

Dr. Marsha Ryan , MD

Surgery

NPI 1548257322

Doctor of Medicine (M.D.)

Emily Zurliene , PA-C

Physician Assistant

NPI 1770192122

Physician Assistant (Certified)

Dr. Nova Foster , MD

Surgery

NPI 1902829567

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events

📍

Updated Practice Location November 20, 2023

Registered at 1237 E MAIN ST, CARBONDALE, IL 629013148 (Tel: 6184572281)

📍

Updated Business Mailing Address November 20, 2023

Registered at PO BOX 3988, CARBONDALE, IL 629023988 (Tel: 6184575200)

📍

Updated Practice Location October 29, 2020

Registered at 510 LINCOLN DR, HERRIN, IL 629486334 (Tel: 6189976800)

📍

Updated Business Mailing Address October 29, 2020

Registered at 510 LINCOLN DR, HERRIN, IL 629486334 (Tel: 6189976800)

📍

Updated Practice Location February 21, 2019

Registered at 623 MAIN ST, OLEAN, NY 147601532 (Tel: 7163757577)

📍

Updated Business Mailing Address February 21, 2019

Registered at 908 NIAGARA FALLS BLVD STE 208, NORTH TONAWANDA, NY 141202019 (Tel: 7166923302)

✅

NPI Profile Active January 23, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2018

Registered at 2626 W STATE ST, SUITE 205, OLEAN, NY 147601858 (Tel: 7163737440)

📍

Updated Business Mailing Address January 23, 2018

Registered at 2626 W STATE ST, SUITE 205, OLEAN, NY 147601858 (Tel: 7163737440)

👤

Provider Name / Credentials Updated January 23, 2018

Recorded as KALI MOE, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2018

Nurse Practitioner (License #340962 in NY)

✅

NPI Profile Active August 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 02, 2016

Registered at 2626 W STATE ST, SUITE 205, OLEAN, NY 147601858 (Tel: 7163737440)

📍

Updated Business Mailing Address August 02, 2016

Registered at 2626 W STATE ST, SUITE 205, OLEAN, NY 147601858 (Tel: 7163737440)

👤

Provider Name / Credentials Updated August 02, 2016

Recorded as KALI TEAGUE, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2016

Nurse Practitioner (License #340962 in NY)

🟢

Initial NPI Registration & Enumeration August 02, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790238160

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 02, 2016

Last Update: September 29, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3988

Carbondale, IL 629023988

Phone: 6184575200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.