NEW MOON WELLNESS, PLLC
NPI 1174106207
Community/Behavioral Health in Wilmette, IL
About New Moon Wellness, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW MOON WELLNESS, PLLC (NPI 1174106207) is a healthcare organization registered as a community/behavioral health in Wilmette, Illinois and active in the NPI registry since May 2021. The organization maintains a secondary practice location in Wilmette and lists Margaret A Duros, Sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
New Moon Wellness, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to New Moon Wellness, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 New Moon Wellness, PLLC's NPI number?
The NPI number for New Moon Wellness, PLLC is 1174106207. It was assigned to this organization in the NPPES registry on May 5, 2021.
Where is New Moon Wellness, PLLC located?
New Moon Wellness, PLLC is located at 2606 Marian Ln, Wilmette, IL 60091. The listed phone number is (312) 852-0580.
What is New Moon Wellness, PLLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is New Moon Wellness, PLLC enrolled in Medicare?
Yes. New Moon Wellness, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through New Moon Wellness, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to New Moon Wellness, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for New Moon Wellness, PLLC was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# New Moon Wellness, Pllc · NPI 1174106207
Community/Behavioral Health organization in Wilmette, Illinois. Organization record, active in the CMS NPPES registry since May 5, 2021.
## Identity
- **NPI:** 1174106207 (Entity type: Organization)
- **Enumerated:** May 5, 2021
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Margaret Duros, SOLE MEMBER
## Practice location
- **Address:** 2606 MARIAN LN, Wilmette, IL 60091-2208
- **Phone:** (312) 852-0580
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174106207) · Data from the CMS NPPES public registry.