KATHERINE SOYOUNG MOON NP
NPI 1144029570
Nurse Practitioner - Psychiatric/Mental Health in Yorktown Heights, NY

Q: What is Katherine Moon's NPI number?

The NPI number for Katherine Moon is 1144029570. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Q: What is Katherine Moon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katherine Moon was last updated on October 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 10, 2025PECOS EnrolledAccepts Medicare Assignment

3505 HILL BLVD STE K, YORKTOWN HEIGHTS, NY 10598(914) 352-6116 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 6, 2025, Aug 13, 2025, Mar 10, 2025 (3 updates tracked since 2025).

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About Katherine Soyoung Moon Np NPPES

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

KATHERINE SOYOUNG MOON NP (NPI 1144029570) is an individual psychiatric/mental health provider in Yorktown Heights, New York, licensed in New York (406669) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1144029570

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKATHERINE SOYOUNG MOONCredential: NP

Location Address3505 HILL BLVD STE KYorktown Heights, NY 10598-1210

Mailing Address3505 Hill BlvdYorktown Heights, NY 10598-1283 · (914) 352-6116

Phone(914) 352-6116

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 10, 2025

Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration

NPPES CertifiedOctober 6, 2025

✔ NPI 1144029570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

License✔ Licensed in NY · 406669

3505 HILL BLVD STE K, Yorktown Heights, NY 10598

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Katherine Soyoung Moon Np 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 ID5799203824

PECOS Enrollment IDI20250513001839

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10598 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

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 5

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

LINDA LONERGAN

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