MS. STEPHANIE M MOON APRN, BC
NPI 1306038955
Nurse Practitioner - Adult Health in Wilmington, DE

Q: What is Stephanie Moon's NPI number?

The NPI number for Stephanie Moon is 1306038955. It was assigned to this individual provider in the NPPES registry on August 16, 2007.

Q: What is Stephanie Moon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Moon was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 16, 2007PECOS Enrolled

1072 JUSTISON ST, WILMINGTON, DE 19801(302) 660-3378 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2021, Aug 29, 2019 (2 updates tracked since 2019).

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About Ms. Stephanie M Moon Aprn, Bc NPPES

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

MS. STEPHANIE M MOON APRN, BC (NPI 1306038955) is an individual adult health provider in Wilmington, Delaware, licensed in New Jersey (26NJ00139400) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mount Laurel.

NPPES Registry Identity

NPI1306038955

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. STEPHANIE M MOONCredential: APRN, BC

Location Address1072 JUSTISON STWilmington, DE 19801-5162

Mailing Address47 Parish LnWillingboro, NJ 08046-2707 · (609) 234-9665

Phone(302) 660-3378

Sole ProprietorNo

Enumeration DateAugust 16, 2007

Last NPPES UpdateDecember 21, 20212 updates tracked since enumeration

NPPES CertifiedDecember 21, 2021

✔ NPI 1306038955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NJ · 26NJ00139400

1072 JUSTISON ST, Wilmington, DE 19801

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Secondary Practice Location 1

Location 14510 Church RdMount Laurel, NJ 08054-2210 · Phone (856) 439-0060 · Fax (856) 452-0344

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Stephanie M Moon Aprn, Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19801 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

$88.37 typical visit price

range $57.12 – $173.08

Typical copayment $22.09 (range $14.28 – $43.27)

Most-billed visit code 99203

Established Patient

$100.68 typical visit price

range $18.36 – $141.05

Typical copayment $25.17 (range $4.59 – $35.26)

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 9

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

PATRICIA F BANKES CRNP

Family Medicine