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JIWAN MOON APRN
NPI 1326927500
Nurse Practitioner - Adult Health in Hartford, CT

Active since September 01, 2025PECOS EnrolledAccepts Medicare Assignment
85 SEYMOUR ST STE 919, HARTFORD, CT 06106(860) 696-5520(860) 522-3951 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2025, Sep 1, 2025 (2 updates tracked since 2025).

About Jiwan Moon Aprn NPPES

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

JIWAN MOON APRN (NPI 1326927500) is an individual adult health provider in Hartford, Connecticut, licensed in Connecticut (15811) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1326927500
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJIWAN MOONCredential: APRN
Location Address85 SEYMOUR ST STE 919Hartford, CT 06106-5528
Mailing Address138 College St Apt 318Middletown, CT 06457-3490 · (917) 922-8852
Phone(860) 696-5520
Fax(860) 522-3951
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 1, 2025
Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1326927500 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 CT · 15811
85 SEYMOUR ST STE 919, Hartford, CT 06106
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Jiwan Moon Aprn 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 ID9537654025
PECOS Enrollment IDI20251222003024
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.

Medicare Billing Reassignment

Medicare enrollment records show Jiwan Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hartford Healthcare Medical Group Specialists, PLLC
Same address
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
NPI 1023584216 (860) 246-2071

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 06106 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

AYYAZ A ALI MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
85 SEYMOUR ST STE 919
HARTFORD, CT 06106
Capitol Planning Region (860) 696-5520
DANIELLE PUTNAM
Physician Assistant
85 SEYMOUR ST STE 919
HARTFORD, CT 06106
Capitol Planning Region (860) 972-2145
MARISSA C MCCLEMENT PA-C
Physician Assistant (Surgical)
85 SEYMOUR ST STE 919
HARTFORD, CT 06106
Capitol Planning Region (860) 696-5520
DR. DAVID WARNER YAFFEE MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
85 SEYMOUR ST STE 919
HARTFORD, CT 06106
Capitol Planning Region (860) 696-5520
SAMANTHA ZAZA
Physician Assistant (Surgical)
85 SEYMOUR ST STE 919
HARTFORD, CT 06106
Capitol Planning Region (860) 324-9661
JESSICA RESO PA-C
Physician Assistant (Surgical)
85 SEYMOUR ST STE 919
HARTFORD, CT 06106
Capitol Planning Region (860) 696-5520
MRS. VANESSA CLOSE KLOPFER PA-C
Physician Assistant (Surgical)
85 SEYMOUR ST STE 919, HHC PHYSICIANSCARE, INC (DBA HARTFORD HEALTHCARE MEDIC
HARTFORD, CT 06106
Capitol Planning Region (860) 696-5520
BRIAN H CLARKE JR. PA-C
Physician Assistant (Surgical)
85 SEYMOUR ST STE 919
HARTFORD, CT 06106
Capitol Planning Region (860) 696-5533

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 Jiwan Moon's NPI number?

The NPI number for Jiwan Moon is 1326927500. It was assigned to this individual provider in the NPPES registry on September 1, 2025.

Where is Jiwan Moon located?

Jiwan Moon practices at 85 Seymour St Ste 919, Hartford, CT 06106. The listed phone number is (860) 696-5520.

What is Jiwan Moon's specialty?

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

Is Jiwan Moon enrolled in Medicare?

Yes. Jiwan Moon 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 Jiwan Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jiwan Moon reassigns Medicare benefits to Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). 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 Jiwan Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jiwan Moon accept?

Health plans from Anthem Blue Cross and Blue Shield list Jiwan 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 Jiwan Moon was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.