KATIE LYNN PERNOT-MOYER CRNP
NPI 1114707882
Nurse Practitioner - Gerontology in Scranton, PA
About Katie Lynn Pernot-moyer Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATIE LYNN PERNOT-MOYER CRNP (NPI 1114707882) is an individual gerontology provider in Scranton, Pennsylvania, licensed in Pennsylvania (SP028097) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Katie Lynn Pernot-moyer Crnp 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
3Medicare enrollment records show Katie Pernot-moyer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Falls, PA 18615
- Reassigned Medicare billing, Pennsylvania enrollment
- 20 clinicians in this Medicare group
Bristol, PA 19007
- Reassigned Medicare billing, Pennsylvania enrollment
- 17 clinicians in this Medicare group
Philadelphia, PA 19122
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Ophelia Medical Group Fl PA
- 70 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18509 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Katie Pernot-moyer's NPI number?
The NPI number for Katie Pernot-moyer is 1114707882. It was assigned to this individual provider in the NPPES registry on October 2, 2023.
Where is Katie Pernot-moyer located?
Katie Pernot-moyer practices at 1371 N Washington Ave, Scranton, PA 18509. The listed phone number is (570) 963-6639.
What is Katie Pernot-moyer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Katie Pernot-moyer enrolled in Medicare?
Yes. Katie Pernot-moyer 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 Katie Pernot-moyer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katie Pernot-moyer reassigns Medicare benefits to 3 organizations: Rural Health Corporation Of Northeastern Pennsylvania (Falls, PA), Encore Clinical Services - PA LLC (Bristol, PA) and Ophelia Medical Group Fl, P.A. (Philadelphia, PA). 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 Katie Pernot-moyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katie Pernot-moyer was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Katie Lynn Pernot-Moyer, CRNP · NPI 1114707882
Gerontology physician in Scranton, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 2, 2023.
## Identity
- **NPI:** 1114707882 (Entity type: Individual)
- **Enumerated:** October 2, 2023
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** SP028097 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1371 N WASHINGTON AVE, Scranton, PA 18509-2840
- **Phone:** (570) 963-6639
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Rural Health Corporation Of Northeastern Pennsylvania (NPI 1205938578, Falls, PA); Encore Clinical Services - PA LLC (NPI 1992487540, Bristol, PA); Ophelia Medical Group Fl, P.A. (NPI 1588244750, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1114707882) · Data from the CMS NPPES public registry.