JADEN RENE MOOMAW
NPI 1376298919
Nurse Practitioner - Family in Mattoon, IL

Q: What is Jaden Moomaw's NPI number?

The NPI number for Jaden Moomaw is 1376298919. It was assigned to this individual provider in the NPPES registry on February 12, 2022.

Q: What is Jaden Moomaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jaden Moomaw was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 12, 2022PECOS EnrolledAccepts Medicare Assignment

2512 HURST DR STE 120, MATTOON, IL 61938(217) 258-7590(217) 258-3686 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 14, 2023, Feb 12, 2022 (2 updates tracked since 2022).

On this page

About Jaden Rene Moomaw NPPES

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

JADEN RENE MOOMAW (NPI 1376298919) is an individual family provider in Mattoon, Illinois, licensed in Illinois (209027942) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376298919

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJADEN RENE MOOMAW

Location Address2512 HURST DR STE 120Mattoon, IL 61938-9200

Mailing Address2512 Hurst Dr Ste 120Mattoon, IL 61938-9200

Phone(217) 258-7590

Fax(217) 258-3686

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 12, 2022

Last NPPES UpdateFebruary 29, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 29, 2024

✔ NPI 1376298919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209027942

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2512 HURST DR STE 120, Mattoon, IL 61938

Open in Google Maps ↗

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

Jaden Rene Moomaw 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 ID4486000775

PECOS Enrollment IDI20231023002224

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Carle Hoopeston Regional Health Center

Critical Access Hospitals · Hoopeston, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141316

Location701 East Orange StreetHoopeston, IL 60942 · Vermilion County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 7

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

MARGARET LOUISA TATE DO

Family Medicine