DR. JESSE LYN MOONEN PSYD
NPI 1306500939
Psychologist in St Louis Park, MN
About Dr. Jesse Lyn Moonen Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JESSE LYN MOONEN PSYD (NPI 1306500939) is an individual psychologist in St Louis Park, Minnesota, licensed in Minnesota (LP6762) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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 and accepts Medicare assignment
Dr. Jesse Lyn Moonen Psyd 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 Jesse Moonen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 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.
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.
MINNEAPOLIS, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
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 Jesse Moonen's NPI number?
The NPI number for Jesse Moonen is 1306500939. It was assigned to this individual provider in the NPPES registry on October 29, 2021.
Where is Jesse Moonen located?
Jesse Moonen practices at 3800 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-3123.
What is Jesse Moonen's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jesse Moonen enrolled in Medicare?
Yes. Jesse Moonen 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 Jesse Moonen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Moonen reassigns Medicare benefits to Park Nicollet Clinic (St Louis Park, MN). 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 Jesse Moonen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jesse Moonen accept?
Health plans from HealthPartners list Jesse Moonen 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 Jesse Moonen was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.