JELISSA ASHLEY MOOYIN
NPI 1174188593
Hospitalist in Santa Monica, CA
About Jelissa Ashley Mooyin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JELISSA ASHLEY MOOYIN (NPI 1174188593) is an individual hospitalist provider in Santa Monica, California, licensed in California (A180627) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Riverside, and is a graduate of Meharry Medical College School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jelissa Ashley Mooyin 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.
Medicare Billing Reassignment
Medicare enrollment records show Jelissa Mooyin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 1,766 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.
Areas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SANTA MONICA, CA 90404
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 Jelissa Mooyin's NPI number?
The NPI number for Jelissa Mooyin is 1174188593. It was assigned to this individual provider in the NPPES registry on May 1, 2019.
Where is Jelissa Mooyin located?
Jelissa Mooyin practices at 1250 16th St, Santa Monica, CA 90404. The listed phone number is (310) 319-4698.
What is Jelissa Mooyin's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Jelissa Mooyin enrolled in Medicare?
Yes. Jelissa Mooyin 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.
Which organization bills Medicare for Jelissa Mooyin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jelissa Mooyin reassigns Medicare benefits to The Regents Of The University Of California (Los Angeles, CA). 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 Jelissa Mooyin'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 Jelissa Mooyin was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jelissa Ashley Mooyin · NPI 1174188593
Hospitalist physician in Santa Monica, California. Individual provider, active in the CMS NPPES registry since May 1, 2019.
## Identity
- **NPI:** 1174188593 (Entity type: Individual)
- **Enumerated:** May 1, 2019
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** A180627 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1250 16TH ST, Santa Monica, CA 90404-1249
- **Phone:** (310) 319-4698 · **Fax:** (310) 319-4908
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Regents Of The University Of California (NPI 1235107566, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Meharry Medical College School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** April 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174188593) · Data from the CMS NPPES public registry.