MS. INDIZO STAR MOON RN, PMHNP
NPI 1215394820
Nurse Practitioner - Psychiatric/Mental Health in Denver, CO
About Ms. Indizo Star Moon Rn, Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. INDIZO STAR MOON RN, PMHNP (NPI 1215394820) is an individual psychiatric/mental health provider in Denver, Colorado, licensed in Colorado (APN.0997135-NP) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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)
Ms. Indizo Star Moon Rn, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Indizo Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Westminster, CO 80031
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Mindful Therapy Group Of Colorado, PC
- 71 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 80205 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Indizo Moon's NPI number?
The NPI number for Indizo Moon is 1215394820. It was assigned to this individual provider in the NPPES registry on January 27, 2016. The provider is also known as Ms. Indizo Star Moon Welch Rn, Pmhnp-Bc.
Where is Indizo Moon located?
Indizo Moon practices at 2850 Welton St, Denver, CO 80205. The listed phone number is (720) 443-3859.
What is Indizo Moon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Indizo Moon enrolled in Medicare?
Yes. Indizo Moon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Indizo Moon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Indizo Moon reassigns Medicare benefits to Mindful Therapy Group Of Colorado, P.C. (Westminster, CO). 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 Indizo Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Indizo Moon accept?
Health plans from Select Health list Indizo 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 Indizo Moon was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.