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NEW MOON MENTAL HEALTH LLC
NPI 1508647983
Nurse Practitioner - Psychiatric/Mental Health in Idaho Falls, ID

Active since October 11, 2023
1970 E 17TH ST STE 111B, IDAHO FALLS, ID 83404(208) 541-5257(208) 742-2695 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About New Moon Mental Health Llc NPPES

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

NEW MOON MENTAL HEALTH LLC (NPI 1508647983) is a healthcare organization registered as a psychiatric/mental health in Idaho Falls, Idaho and active in the NPI registry since October 2023. The organization lists Denise Barnes, Owner, as its authorized official.

NPPES Registry Identity

NPI1508647983
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNEW MOON MENTAL HEALTH LLC
Location Address1970 E 17TH ST STE 111BIdaho Falls, ID 83404-8046
Mailing Address1970 E 17th St Ste 111bIdaho Falls, ID 83404-8046 · (208) 541-5257 · Fax (208) 742-2695
Phone(208) 541-5257
Fax(208) 742-2695
Organization SubpartNo
Authorized OfficialDenise BarnesOwner · (208) 716-6445
Enumeration DateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
✔ NPI 1508647983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1970 E 17TH ST STE 111B, Idaho Falls, ID 83404
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Moon Mental Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to New Moon Mental Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Denise Bird, NP
Nurse Practitioner
NPI 1851470785
1970 E 17TH ST STE 111B
Idaho Falls, ID 83404
(208) 541-5257
✔ PECOS✔ Accepts MedicareSame address

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

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 New Moon Mental Health LLC's NPI number?

The NPI number for New Moon Mental Health LLC is 1508647983. It was assigned to this organization in the NPPES registry on October 11, 2023.

Where is New Moon Mental Health LLC located?

New Moon Mental Health LLC is located at 1970 E 17th St Ste 111B, Idaho Falls, ID 83404. The listed phone number is (208) 541-5257.

What is New Moon Mental Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is New Moon Mental Health LLC enrolled in Medicare?

Yes. New Moon Mental Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Moon Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to New Moon Mental Health LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does New Moon Mental Health LLC accept?

Health plans from University of Utah Health Plans list New Moon Mental Health LLC 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.

When was this NPI record last updated?

The NPPES record for New Moon Mental Health LLC was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.