AUTUMN NGUYEN MOON APRN
NPI 1417653247
Nurse Practitioner in Tampa, FL
About Autumn Nguyen Moon Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTUMN NGUYEN MOON APRN (NPI 1417653247) is an individual nurse practitioner in Tampa, Florida, licensed in Florida (APRN11023088) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tampa, and is a graduate of University Of South Florida College Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Autumn Nguyen 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Autumn Moon's NPI number?
The NPI number for Autumn Moon is 1417653247. It was assigned to this individual provider in the NPPES registry on February 2, 2023.
Where is Autumn Moon located?
Autumn Moon practices at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (888) 663-3488.
What is Autumn Moon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Autumn Moon enrolled in Medicare?
Yes. Autumn 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.
When was this NPI record last updated?
The NPPES record for Autumn Moon was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Autumn Nguyen Moon, APRN · NPI 1417653247
Nurse Practitioner physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since February 2, 2023.
## Identity
- **NPI:** 1417653247 (Entity type: Individual)
- **Enumerated:** February 2, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN11023088 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12902 USF MAGNOLIA DR, Tampa, FL 33612-9416
- **Phone:** (888) 663-3488
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of South Florida College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** April 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417653247) · Data from the CMS NPPES public registry.