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JODI RAE MOON R.D., C.D.E
NPI 1679891501
Dietitian, Registered in Oregon City, OR

Active since May 17, 2010Accepts Medicare Assignment
519 15TH ST, OREGON CITY, OR 97045(503) 650-6822(503) 650-6876 Get Directions Write a Review

NPPES record last updated: May 17, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jodi Rae Moon R.d., C.d.e NPPES

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

JODI RAE MOON R.D., C.D.E (NPI 1679891501) is an individual dietitian, registered in Oregon City, Oregon, licensed in Oregon (674) and active in the NPI registry since May 2010. She is a graduate of Other (1990).

NPPES Registry Identity

NPI1679891501
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJODI RAE MOONCredential: R.D., C.D.E
Location Address519 15TH STOregon City, OR 97045-1448
Mailing Address519 15th StOregon City, OR 97045-1448 · (503) 650-6822 · Fax (503) 650-6876
Phone(503) 650-6822
Fax(503) 650-6876
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 17, 2010
✔ NPI 1679891501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in OR · 674
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
519 15TH ST, Oregon City, OR 97045
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Jodi Rae Moon R.d., C.d.e 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 ID3971873589
PECOS Enrollment IDI20170713003674

Medicare Billing Reassignments

2

Medicare enrollment records show Jodi Moon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services Oregon
0.6 mi
Internal Medicine
1511 DIVISION ST STE 101
Oregon City, OR 97045
  • Reassigned Medicare billing, Oregon enrollment
  • 1,501 clinicians in this Medicare group
NPI 1992138309 (503) 722-3705
Sisters Of Providence In Oregon
189 mi
Clinic/Center
25 ERICKSON AVENUE
Shady Cove, OR 97539
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Providence Health & Services Oregon
  • 181 clinicians in this Medicare group
NPI 1881770808 (541) 878-3730

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

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.

Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
290 services96 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97045 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
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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 Jodi Moon's NPI number?

The NPI number for Jodi Moon is 1679891501. It was assigned to this individual provider in the NPPES registry on May 17, 2010.

Where is Jodi Moon located?

Jodi Moon practices at 519 15th St, Oregon City, OR 97045. The listed phone number is (503) 650-6822.

What is Jodi Moon's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jodi Moon enrolled in Medicare?

Yes. Jodi 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 organizations bill Medicare for Jodi Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jodi Moon reassigns Medicare benefits to 2 organizations: Providence Health & Services Oregon (Oregon City, OR) and Sisters Of Providence In Oregon (Shady Cove, OR). 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 Jodi Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jodi Moon accept?

Health plans from Providence Health Plan list Jodi 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.

When was this NPI record last updated?

The NPPES record for Jodi Moon was last updated on May 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.