MOONLIT MENTAL HEALTH LLC
NPI 1114863081
Nurse Practitioner - Psychiatric/Mental Health in Broken Arrow, OK

Q: What is Moonlit Mental Health LLC's NPI number?

The NPI number for Moonlit Mental Health LLC is 1114863081. It was assigned to this organization in the NPPES registry on April 24, 2026.

Q: What is Moonlit Mental Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since April 24, 2026

2249 W WASHINGTON ST, BROKEN ARROW, OK 74012(918) 280-9679(949) 988-2941 Get Directions Write a Review

NPPES record last updated: May 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 31, 2026, May 18, 2026, Apr 24, 2026 (3 updates tracked since 2026).

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About Moonlit Mental Health Llc NPPES

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

MOONLIT MENTAL HEALTH LLC (NPI 1114863081) is a healthcare organization registered as a psychiatric/mental health in Broken Arrow, Oklahoma and active in the NPI registry since April 2026. The organization lists Sarah Abigail Woody, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1114863081

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMOONLIT MENTAL HEALTH LLC

Location Address2249 W WASHINGTON STBroken Arrow, OK 74012-6703

Mailing Address2249 W Washington StBroken Arrow, OK 74012-6703 · (918) 960-5335 · Fax (949) 988-2941

Phone(918) 280-9679

Fax(949) 988-2941

Organization SubpartNo

Authorized OfficialSarah Abigail WoodyPmhnp-bc · (918) 960-5335

Enumeration DateApril 24, 2026

Last NPPES UpdateMay 31, 20263 updates tracked since enumeration

NPPES CertifiedMay 31, 2026

✔ NPI 1114863081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

2249 W WASHINGTON ST, Broken Arrow, OK 74012

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moonlit Mental Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Moonlit Mental Health LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Jon Esponge, APRN, FNP-C

Nurse Practitioner

NPI 1609425008

2249 W WASHINGTON ST
Broken Arrow, OK 74012

(918) 280-9679

✔ PECOSSame address

Sarah Woody, APRN, PMHNP-BC

Nurse Practitioner

NPI 1134984438

2249 W WASHINGTON ST
Broken Arrow, OK 74012

(918) 960-5335

✔ PECOSSame address

Jonathan Lurz, MSN, APRN, PMHNP-BC

Nurse Practitioner

NPI 1619599958

2990 N SIOUX AVE
Claremore, OK 74017

(918) 342-2622

✔ PECOS✔ Accepts Medicare24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Moonlit Mental Health LLC's NPI number?

The NPI number for Moonlit Mental Health LLC is 1114863081. It was assigned to this organization in the NPPES registry on April 24, 2026.

Where is Moonlit Mental Health LLC located?

Moonlit Mental Health LLC is located at 2249 W Washington St, Broken Arrow, OK 74012. The listed phone number is (918) 280-9679.

What is Moonlit Mental Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Moonlit Mental Health LLC enrolled in Medicare?

Yes. Moonlit Mental Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Moonlit Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Moonlit Mental Health LLC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Moonlit Mental Health LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Moonlit Mental Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moonlit Mental Health LLC was last updated on May 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.