Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DEVI DOVE MOON
NPI 1407469638
Nurse Practitioner - Family in Columbus, MS

Active since August 27, 2020PECOS Enrolled
56 DUTCH LN, COLUMBUS, MS 39702(662) 329-3808(662) 329-3873 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2026, Aug 27, 2020 (2 updates tracked since 2020).

About Devi Dove Moon NPPES

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

DEVI DOVE MOON (NPI 1407469638) is an individual family provider in Columbus, Mississippi, licensed in Mississippi (904108) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Bmh-golden Triangle, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407469638
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEVI DOVE MOON
Location Address56 DUTCH LNColumbus, MS 39702-5500
Mailing Address56 Dutch LnColumbus, MS 39702-5500 · (662) 329-3808 · Fax (662) 329-3873
Fax(662) 329-3873
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 27, 2020
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
NPI 1407469638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 904108
56 DUTCH LN, Columbus, MS 39702

Accepted 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

Devi Dove Moon 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 ID2264807650
PECOS Enrollment IDI20230418000672
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 21

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
173 services138 patients
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.
150 services84 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
108 services64 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
87 services57 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
84 services40 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
81 services56 patients

Hospital Affiliations CMS Care Compare

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

Bmh-Golden Triangle

Acute Care Hospitals · Columbus, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250100
Location2520 5th Street NColumbus, MS 39705 · Lowndes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39702 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 16

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

Nurse Practitioner (Family)
56 DUTCH LN
COLUMBUS, MS 39702
Nurse Practitioner (Family)
56 DUTCH LN
COLUMBUS, MS 39702
Nurse Practitioner (Family)
56 DUTCH LN
COLUMBUS, MS 39702
Family Medicine
56 DUTCH LN
COLUMBUS, MS 39702
Family Medicine
56 DUTCH LN
COLUMBUS, MS 39702
Family Medicine
56 DUTCH LN
COLUMBUS, MS 39702
Nurse Practitioner (Psychiatric/Mental Health)
56 DUTCH LN
COLUMBUS, MS 39702
Nurse Practitioner (Family)
56 DUTCH LN
COLUMBUS, MS 39702

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 Devi Moon's NPI number?

The NPI number for Devi Moon is 1407469638. It was assigned to this individual provider in the NPPES registry on August 27, 2020.

Where is Devi Moon located?

Devi Moon practices at 56 Dutch Ln, Columbus, MS 39702. The listed phone number is (662) 329-3808.

What is Devi Moon's specialty?

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

Is Devi Moon enrolled in Medicare?

Yes. Devi 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.

What insurance does Devi Moon accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Devi 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.

Is Devi Moon affiliated with any hospitals?

According to CMS data, Devi Moon is affiliated with Bmh-Golden Triangle.

When was this NPI record last updated?

The NPPES record for Devi Moon was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.