MRS. TINA LYNN MOONEY FPN,C
NPI 1154559425
Nurse Practitioner - Family in Saint Louis, MO

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment
10012 KENNERLY RD STE 403, SAINT LOUIS, MO 63128(314) 880-6676(314) 842-4372 Get Directions Write a Review

NPPES record last updated: November 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2018, Oct 19, 2018 (2 updates tracked since 2018).

About Mrs. Tina Lynn Mooney Fpn,c NPPES

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

MRS. TINA LYNN MOONEY FPN,C (NPI 1154559425) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (F0808214) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154559425
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TINA LYNN MOONEYCredential: FPN,C
Location Address10012 KENNERLY RD STE 403Saint Louis, MO 63128
Mailing Address10012 Kennerly Rd Ste 403Saint Louis, MO 63128-2197 · (314) 880-6676 · Fax (314) 842-4372
Fax(314) 842-4372
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 25, 2009
Last NPPES UpdateNovember 20, 20182 updates tracked since enumeration
NPI 1154559425 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 MO · F0808214
10012 KENNERLY RD STE 403, Saint Louis, MO 63128

Secondary Practice Locations 2

Location 11011 Bowles Ave Ste 300Fenton, MO 63026-2387 · Phone (314) 647-8269 · Fax (314) 646-1700
Location 210012 Kennerly Rd Ste 403Saint Louis, MO 63128 · Phone (314) 880-6676 · Fax (314) 842-4372

Accepted 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

Mrs. Tina Lynn Mooney Fpn,c 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 ID5890933410
PECOS Enrollment IDI20140709001279
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 3

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

Internal Medicine (Cardiovascular Disease)
10012 KENNERLY RD STE 403
SAINT LOUIS, MO 63128
Thoracic Surgery (Cardiothoracic Vascular Surgery)
10012 KENNERLY RD STE 403
SAINT LOUIS, MO 63128
Nurse Practitioner (Acute Care)
10012 KENNERLY RD STE 403
SAINT LOUIS, MO 63128

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 Tina Mooney's NPI number?

The NPI number for Tina Mooney is 1154559425. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Tina Mooney located?

Tina Mooney practices at 10012 Kennerly Rd Ste 403, Saint Louis, MO 63128. The listed phone number is (314) 880-6676.

What is Tina Mooney's specialty?

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

Is Tina Mooney enrolled in Medicare?

Yes. Tina Mooney 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.

What insurance does Tina Mooney accept?

Health plans from Medica and UnitedHealthcare list Tina Mooney 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.

Is Tina Mooney affiliated with any hospitals?

According to CMS data, Tina Mooney is affiliated with Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Tina Mooney was last updated on November 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.