KEVIN MOON
NPI 1033570254
Nurse Anesthetist, Certified Registered in Kalamazoo, MI

Q: What is Kevin Moon's NPI number?

The NPI number for Kevin Moon is 1033570254. It was assigned to this individual provider in the NPPES registry on March 15, 2016.

Q: What is Kevin Moon's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Moon was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 15, 2016Accepts Medicare Assignment

900 PEELER ST, KALAMAZOO, MI 49008(269) 345-8618(269) 345-1508 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2016, Mar 15, 2016 (2 updates tracked since 2016).

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About Kevin Moon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN MOON (NPI 1033570254) is an individual nurse anesthetist, certified registered in Kalamazoo, Michigan, licensed in Michigan (4704279242) and active in the NPI registry since March 2016. He is affiliated with Bronson Methodist Hospital and is a graduate of Other (2016).

NPPES Registry Identity

NPI1033570254

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameKEVIN MOON

Location Address900 PEELER STKalamazoo, MI 49008-2300

Mailing Address900 Peeler StKalamazoo, MI 49008-2300 · (269) 345-8618 · Fax (269) 345-1508

Phone(269) 345-8618

Fax(269) 345-1508

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 15, 2016

Last NPPES UpdateMay 12, 20162 updates tracked since enumeration

✔ NPI 1033570254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MI · 4704279242

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704279242 (MI)

900 PEELER ST, Kalamazoo, MI 49008

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Other Identifiers 2

Medicare PINC96074203MI

Other4704279242MI · Michigan License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Moon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395043996

PECOS Enrollment IDI20160414002257

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

32 services32 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230017

Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County

Emergency services Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230117

Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE COLONIUS BSN, SRNA

Nurse Anesthetist, Certified Registered