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JACOB MOONEY
NPI 1306411889
Emergency Medicine in Providence, RI

Active since May 26, 2021PECOS EnrolledAccepts Medicare Assignment
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-6489 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2025, May 26, 2021 (2 updates tracked since 2021).

About Jacob Mooney NPPES

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

JACOB MOONEY (NPI 1306411889) is an individual emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD19979) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and is a graduate of Stanford University School Of Medicine (2021).

NPPES Registry Identity

NPI1306411889
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACOB MOONEY
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address55 Claverick St Fl 2Providence, RI 02903-4144
Phone(401) 444-6489
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2021
Enumeration DateMay 26, 2021
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1306411889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in RI · MD19979
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License LP05356 (RI)
593 EDDY ST, Providence, RI 02903
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Mooney 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.

PECOS PAC ID5799184446
PECOS Enrollment IDI20250618003698
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newport Hospital

Acute Care Hospitals · Newport, RI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410006
Location11 Friendship StreetNewport, RI 02840 · Newport County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 20

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

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRIAN CAO MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-4286
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695

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 Jacob Mooney's NPI number?

The NPI number for Jacob Mooney is 1306411889. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Where is Jacob Mooney located?

Jacob Mooney practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-6489.

What is Jacob Mooney's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacob Mooney enrolled in Medicare?

Yes. Jacob Mooney 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.

What insurance does Jacob Mooney accept?

Health plans from WellSense Health Plan list Jacob Mooney 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.

Is Jacob Mooney affiliated with any hospitals?

According to CMS data, Jacob Mooney is affiliated with Newport Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Mooney was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.