DEBRA A MOON NNP
NPI 1154772465
Nurse Practitioner - Neonatal in Indianapolis, IN
About Debra A Moon Nnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEBRA A MOON NNP (NPI 1154772465) is an individual neonatal provider in Indianapolis, Indiana, licensed in Indiana (71006265A) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Debra A Moon Nnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Debra Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Indianapolis, IN 46260
- Reassigned Medicare billing, Indiana enrollment
- 294 clinicians in this Medicare group
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 46260 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46260
INDIANAPOLIS, IN 46260
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 Debra Moon's NPI number?
The NPI number for Debra Moon is 1154772465. It was assigned to this individual provider in the NPPES registry on June 28, 2016. The provider is also known as Debra A Nourse Rn.
Where is Debra Moon located?
Debra Moon practices at 8111 Township Line Rd, Indianapolis, IN 46260. The listed phone number is (317) 415-7921.
What is Debra Moon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Debra Moon enrolled in Medicare?
Yes. Debra Moon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Debra Moon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Debra Moon reassigns Medicare benefits to St Vincent Pediatric Subspecialties (Indianapolis, IN). 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 Debra Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Debra Moon accept?
Health plans from CareSource list Debra Moon 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 Debra Moon was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Debra A Moon, NNP · NPI 1154772465
Neonatal physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since June 28, 2016.
## Identity
- **NPI:** 1154772465 (Entity type: Individual)
- **Enumerated:** June 28, 2016
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** 71006265A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 8111 TOWNSHIP LINE RD, Indianapolis, IN 46260-2479
- **Phone:** (317) 415-7921
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Vincent Pediatric Subspecialties (NPI 1013967736, Indianapolis, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2017
- **Other identifiers:** Medicaid 201412030 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1154772465) · Data from the CMS NPPES public registry.