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JUSTIN PAUL MOMEYER
NPI 1679229629
Nurse Anesthetist, Certified Registered in Mount Vernon, OH

Active since March 01, 2022Accepts Medicare Assignment
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050(740) 393-9000 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2023, Jan 12, 2023, Mar 1, 2022 (3 updates tracked since 2022).

About Justin Paul Momeyer NPPES

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

JUSTIN PAUL MOMEYER (NPI 1679229629) is an individual nurse anesthetist, certified registered in Mount Vernon, Ohio, licensed in Ohio (0020791) and active in the NPI registry since March 2022. He is affiliated with Riverside Methodist Hospital, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679229629
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJUSTIN PAUL MOMEYER
Location Address1330 COSHOCTON AVEMount Vernon, OH 43050-1440
Mailing Address7810 Meadow Chase DrSunbury, OH 43074-1115 · (614) 563-2876
Phone(740) 393-9000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 1, 2022
Last NPPES UpdateOctober 17, 20243 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
✔ NPI 1679229629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in OH · 0020791
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.450251 (OH)
1330 COSHOCTON AVE, Mount Vernon, OH 43050
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Secondary Practice Locations 2

Location 1111 S Grant Ave Fl 3Columbus, OH 43215-4701 · Phone (614) 566-9871
Location 23535 Olentangy River RdColumbus, OH 43214-3908 · Phone (614) 884-0641

Accepted Insurance

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

Justin Paul Momeyer 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 ID7012376361
PECOS Enrollment IDI20230705000236

Medicare Billing Reassignments

3

Medicare enrollment records show Justin Momeyer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Knox Community Hospital
Same address
Clinic/Center
1330 COSHOCTON AVE
Mount Vernon, OH 43050
  • Reassigned Medicare billing, Ohio enrollment
  • 191 clinicians in this Medicare group
NPI 1003065681 (740) 393-5537
Ohiohealth Corporation
36 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
85 MCNAUGHTEN RD STE 110
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1265627301 (614) 856-9100
Midwest Physician Anesthesia Services, Inc.
40 mi
Anesthesiology
5151 REED ROAD, SUITE 225-C
Columbus, OH 43220
  • Reassigned Medicare billing, Ohio enrollment
  • 197 clinicians in this Medicare group
NPI 1598703951 (614) 884-0641

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

Hospital Affiliations CMS Care Compare 3

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Knox Community Hospital

Acute Care Hospitals · Mount Vernon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360040
Location1330 Coshocton RoadMount Vernon, OH 43050 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43050 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

ZACHARY MARK GATTON M.D.
Anesthesiology
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-6585
KNOX COMMUNITY HOSPITAL
Clinic/Center
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-5537
KNOX COMMUNITY HOSPITAL
Clinic/Center (Urgent Care)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-9000
MATTHEW RAHRIG MD
Anesthesiology (Pain Medicine)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-9866
ALI SALIM MD
Internal Medicine
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-9000
DR. TISHA GAYETTE DELLOS DO
Pathology (Anatomic Pathology & Clinical Pathology)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-9770
KORI L KIRKHOPE APRN
Nurse Practitioner
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-9000
GILFORD S VINCENT SR.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-9000

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 Justin Momeyer's NPI number?

The NPI number for Justin Momeyer is 1679229629. It was assigned to this individual provider in the NPPES registry on March 1, 2022.

Where is Justin Momeyer located?

Justin Momeyer practices at 1330 Coshocton Ave, Mount Vernon, OH 43050. The listed phone number is (740) 393-9000.

What is Justin Momeyer's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Justin Momeyer enrolled in Medicare?

Yes. Justin Momeyer 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 organizations bill Medicare for Justin Momeyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Momeyer reassigns Medicare benefits to 3 organizations: Knox Community Hospital (Mount Vernon, OH), Ohiohealth Corporation (Columbus, OH) and Midwest Physician Anesthesia Services, Inc. (Columbus, OH). Each 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 Justin Momeyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Momeyer accept?

Health plans from CareSource list Justin Momeyer 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 Justin Momeyer affiliated with any hospitals?

According to CMS data, Justin Momeyer is affiliated with Riverside Methodist Hospital, Grant Medical Center and Knox Community Hospital.

When was this NPI record last updated?

The NPPES record for Justin Momeyer was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.