MOONSHOT PSYCHIATRIC NURSE PRACTITIONER PC
NPI 1669158879
Nurse Practitioner - Psychiatric/Mental Health in Seattle, WA
About Moonshot Psychiatric Nurse Practitioner Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOONSHOT PSYCHIATRIC NURSE PRACTITIONER PC (NPI 1669158879) is a healthcare organization registered as a psychiatric/mental health in Seattle, Washington and active in the NPI registry since June 2023. The organization maintains 23 additional practice locations and lists Brighid Gannon, Co-founder, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 23
Group Practice 1
Accepted 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)
Moonshot Psychiatric Nurse Practitioner Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
142Medicare enrollment records show 142 clinicians reassign Medicare billing to Moonshot Psychiatric Nurse Practitioner PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 142Source: 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 Moonshot Psychiatric Nurse Practitioner PC's NPI number?
The NPI number for Moonshot Psychiatric Nurse Practitioner PC is 1669158879. It was assigned to this organization in the NPPES registry on June 22, 2023.
Where is Moonshot Psychiatric Nurse Practitioner PC located?
Moonshot Psychiatric Nurse Practitioner PC is located at 4803 Fremont Ave N, Seattle, WA 98103. The listed phone number is (855) 444-7258.
What is Moonshot Psychiatric Nurse Practitioner PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Moonshot Psychiatric Nurse Practitioner PC enrolled in Medicare?
Yes. Moonshot Psychiatric Nurse Practitioner PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Moonshot Psychiatric Nurse Practitioner PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 142 clinicians in 2 Medicare specialties reassign their Medicare billing to Moonshot Psychiatric Nurse Practitioner PC. 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. The largest specialties are Nurse Practitioner (141) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Moonshot Psychiatric Nurse Practitioner PC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Nebraska and 13 other insurers list Moonshot Psychiatric Nurse Practitioner PC 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 Moonshot Psychiatric Nurse Practitioner PC was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Moonshot Psychiatric Nurse Practitioner Pc · NPI 1669158879
Psychiatric/Mental Health organization in Seattle, Washington. Organization record, active in the CMS NPPES registry since June 22, 2023.
## Identity
- **NPI:** 1669158879 (Entity type: Organization)
- **Enumerated:** June 22, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Brighid Gannon, CO-FOUNDER
## Practice location
- **Address:** 4803 FREMONT AVE N, Seattle, WA 98103-6527
- **Phone:** (855) 444-7258
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 142 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (141), Certified Clinical Nurse Specialist (CNS) (1); 1 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1669158879/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669158879) · Data from the CMS NPPES public registry.