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

Q: 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.

Q: What is Edith Moon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edith Moon was last updated on June 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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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.

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