ALYSSA MARIE MOON
NPI 1497534630
Nurse Practitioner - Family in Kokomo, IN

Q: What is Alyssa Moon's NPI number?

The NPI number for Alyssa Moon is 1497534630. It was assigned to this individual provider in the NPPES registry on September 27, 2023.

Q: What is Alyssa Moon'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 Alyssa Moon was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since September 27, 2023PECOS EnrolledAccepts Medicare Assignment

138 N DIXON RD, KOKOMO, IN 46901(765) 236-8282 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 11, 2024, Oct 7, 2024 (2 updates tracked since 2024).

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About Alyssa Marie Moon NPPES

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

ALYSSA MARIE MOON (NPI 1497534630) is an individual family provider in Kokomo, Indiana, licensed in Indiana (71014484A) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and maintains a secondary practice location in Logansport.

NPPES Registry Identity

NPI1497534630

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALYSSA MARIE MOON

Location Address138 N DIXON RDKokomo, IN 46901-4154

Mailing Address138 N Dixon RdKokomo, IN 46901-4154

Phone(765) 236-8282

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 27, 2023

Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration

NPPES CertifiedNovember 11, 2024

✔ NPI 1497534630 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 IN · 71014484A

Also ListedNurse PractitionerTaxonomy 363L00000X · License 18004578283 (IN)

138 N DIXON RD, Kokomo, IN 46901

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Secondary Practice Location 1

Location 11101 Michigan AveLogansport, IN 46947-1528 · Phone (765) 753-0867

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Alyssa Marie 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 ID6800233180

PECOS Enrollment IDI20240321003624

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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

29 services29 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150010

Location1907 W Sycamore StKokomo, IN 46904 · Howard County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Logansport, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150072

Location1101 Michigan AveLogansport, IN 46947 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46901 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 17

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

CHARLES LAYTON ELLIOTT MD

Otolaryngology