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TIFFANY GRAY MOON WHNP-BC
NPI 1467971325
Nurse Practitioner - Women's Health in Plymouth, NC

Active since September 12, 2017PECOS EnrolledAccepts Medicare Assignment
198 NC HIGHWAY 45 N, PLYMOUTH, NC 27962(252) 791-3119 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 11, 2020, Sep 12, 2017 (2 updates tracked since 2017).

About Tiffany Gray Moon Whnp-bc NPPES

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

TIFFANY GRAY MOON WHNP-BC (NPI 1467971325) is an individual women's health provider in Plymouth, North Carolina, licensed in North Carolina (5009694) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Vidant Chowan Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1467971325
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameTIFFANY GRAY MOONCredential: WHNP-BC
Location Address198 NC HIGHWAY 45 NPlymouth, NC 27962-9232
Mailing Address201 Leigh StEdenton, NC 27932-1657 · (252) 562-4410
Phone(252) 791-3119
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 12, 2017
Last NPPES UpdateMay 11, 20202 updates tracked since enumeration
NPPES CertifiedMay 11, 2020
✔ NPI 1467971325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in NC · 5009694
198 NC HIGHWAY 45 N, Plymouth, NC 27962
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.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

Tiffany Gray Moon Whnp-bc 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 ID5092170613
PECOS Enrollment IDI20230503001385
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 Tiffany Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vidant Medical Group LLC
44 mi
Multi-Specialty
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
NPI 1477648731 (252) 847-2181

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
39 services34 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
28 services28 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services14 patients
Smear for infectious agents 87210
A smear for infectious agents is a simple test done to identify harmful microorganisms in your body. A sample is taken from your body, spread thinly onto a slide, and examined under a microscope. This helps in diagnosing various infections and diseases.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Vidant Chowan Hospital

Critical Access Hospitals · Edenton, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number341318
Location211 Virginia RdEdenton, NC 27932 · Chowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27962 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT
Home Health
198 NC HIGHWAY 45 N
PLYMOUTH, NC 27962
Washington County (252) 791-3138
MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPARTMENT
Clinic/Center (Public Health, State or Local)
198 NC HIGHWAY 45 N
PLYMOUTH, NC 27962
Washington County (252) 793-3023
SUMMER BAKER RN
Registered Nurse
198 NC HIGHWAY 45 N
PLYMOUTH, NC 27962
Washington County (252) 791-3105
MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT
Hospice Care, Community Based
198 NC HIGHWAY 45 N
PLYMOUTH, NC 27962
Washington County (252) 791-3138
MRS. RENEA SWAIN PRICE FNP-C
Nurse Practitioner (Family)
198 NC HIGHWAY 45 N
PLYMOUTH, NC 27962
Washington County (252) 791-3119
SHIRLEY PELLETIER R.D.
Dietitian, Registered
198 NC HIGHWAY 45 N
PLYMOUTH, NC 27962
Washington County (252) 791-3100
MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPARTMENT
Clinic/Center (Public Health, State or Local)
198 NC HIGHWAY 45 N
PLYMOUTH, NC 27962
Washington County (252) 793-3023
MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPT
Clinic/Center (Public Health, State or Local)
198 NC HIGHWAY 45 N
PLYMOUTH, NC 27962
Washington County (252) 791-3119

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 Tiffany Moon's NPI number?

The NPI number for Tiffany Moon is 1467971325. It was assigned to this individual provider in the NPPES registry on September 12, 2017.

Where is Tiffany Moon located?

Tiffany Moon practices at 198 Nc Highway 45 N, Plymouth, NC 27962. The listed phone number is (252) 791-3119.

What is Tiffany Moon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Tiffany Moon enrolled in Medicare?

Yes. Tiffany 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 Tiffany Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Moon reassigns Medicare benefits to Vidant Medical Group LLC (Greenville, NC). 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 Tiffany Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Moon accept?

Health plans from Cigna Healthcare and UnitedHealthcare list Tiffany 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 Tiffany Moon affiliated with any hospitals?

According to CMS data, Tiffany Moon is affiliated with Vidant Chowan Hospital.

When was this NPI record last updated?

The NPPES record for Tiffany Moon was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.