SANDRA MOON CRNA
NPI 1063763365
Nurse Anesthetist, Certified Registered in New York, NY
About Sandra Moon Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA MOON CRNA (NPI 1063763365) is an individual nurse anesthetist, certified registered in New York, New York, licensed in New York (569282) and active in the NPI registry since September 2012. She is affiliated with Mount Sinai Hospital and is a graduate of Columbia University College Of Physicians And Surgeons (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sandra Moon Crna 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sandra Moon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 1,067 clinicians in this Medicare group
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 384 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mount Sinai Hospital
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10029
NEW YORK, NY 10029
NEW YORK, NY 10029
NEW YORK, NY 10029
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sandra Moon's NPI number?
The NPI number for Sandra Moon is 1063763365. It was assigned to this individual provider in the NPPES registry on September 26, 2012.
Where is Sandra Moon located?
Sandra Moon practices at 1 Gustave L Levy Pl, New York, NY 10029. The listed phone number is (800) 627-4470.
What is Sandra Moon's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Sandra Moon enrolled in Medicare?
Yes. Sandra Moon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sandra Moon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Moon reassigns Medicare benefits to 2 organizations: Fpa Hospital Based (New York, NY) and Weill Medical College Of Cornell (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sandra Moon affiliated with any hospitals?
According to CMS data, Sandra Moon is affiliated with Mount Sinai Hospital.
When was this NPI record last updated?
The NPPES record for Sandra Moon was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Sandra Moon, CRNA · NPI 1063763365
Nurse Anesthetist, Certified Registered physician in New York, New York. Individual provider, active in the CMS NPPES registry since September 26, 2012.
## Identity
- **NPI:** 1063763365 (Entity type: Individual)
- **Enumerated:** September 26, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 569282 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 GUSTAVE L LEVY PL, New York, NY 10029-6504
- **Phone:** (800) 627-4470 · **Fax:** (412) 937-5710
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fpa Hospital Based (NPI 1629319413, New York, NY); Weill Medical College Of Cornell (NPI 1164768305, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Columbia University College Of Physicians And Surgeons, class of 2012
## Record status
- **NPPES last updated:** August 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063763365) · Data from the CMS NPPES public registry.