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EDITH MOON
NPI 1144877374
Nurse Practitioner - Family in Albuquerque, NM

Active since August 22, 2019PECOS Enrolled
306 SAN PABLO ST SE, ALBUQUERQUE, NM 87108(505) 272-9242 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 8, 2023, Aug 22, 2019 (2 updates tracked since 2019).

About Edith Moon NPPES

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

EDITH MOON (NPI 1144877374) is an individual family provider in Albuquerque, New Mexico, licensed in New Mexico (57399) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144877374
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDITH MOON
Location Address306 SAN PABLO ST SEAlbuquerque, NM 87108-3167
Mailing Address306 San Pablo St SeAlbuquerque, NM 87108-3167 · (505) 272-9242 · Fax (505) 272-1538
Phone(505) 272-9242
Sole ProprietorYes
Enumeration DateAugust 22, 2019
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1144877374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · 57399
306 SAN PABLO ST SE, Albuquerque, NM 87108
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edith Moon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Edith Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unm Hospital
3.3 mi
General Acute Care Hospital
2211 LOMAS BLVD., N.E.
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 505 clinicians in this Medicare group
NPI 1689747552 (505) 272-1221

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 87108 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 6

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

DR. DESTINY M WAGGONER PH.D.
Psychologist (Clinical)
306 SAN PABLO ST SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 272-0415
BEATRICE ELAINE VILLEGAS LCSW
Social Worker (Clinical)
306 SAN PABLO ST SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 453-2744
CLAUDIA IVONNE RODRIGUEZ
Social Worker (Clinical)
306 SAN PABLO ST SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 272-9379
MARLENE ROCIO ESPINOZA BARBOZA
Counselor (Mental Health)
306 SAN PABLO ST SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 710-8728
MR. SHERWIN HOAGSTROM LCSW
Social Worker (Clinical)
306 SAN PABLO ST SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 385-5982
MR. JOHN R BUCHAN LISW
Social Worker (Clinical)
306 SAN PABLO ST SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 272-9379

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 Edith Moon's NPI number?

The NPI number for Edith Moon is 1144877374. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Where is Edith Moon located?

Edith Moon practices at 306 San Pablo St SE, Albuquerque, NM 87108. The listed phone number is (505) 272-9242.

What is Edith Moon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Edith Moon enrolled in Medicare?

Yes. Edith Moon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edith Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edith Moon reassigns Medicare benefits to Unm Hospital (Albuquerque, NM). The 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 Edith Moon'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 Edith Moon was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.