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HYESIM MOON NURSE PRACTITIONER
NPI 1689156689
Nurse Practitioner - Family in Palisades Park, NJ

Active since September 05, 2018PECOS EnrolledAccepts Medicare Assignment
7 BROAD AVE STE 203, PALISADES PARK, NJ 07650(201) 941-2486 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 13, 2024, Jun 14, 2024, Sep 5, 2018 (3 updates tracked since 2018).

About Hyesim Moon Nurse Practitioner NPPES

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

HYESIM MOON NURSE PRACTITIONER (NPI 1689156689) is an individual family provider in Palisades Park, New Jersey, licensed in New Jersey (26NJ15024700) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and maintains a secondary practice location in Flushing.

NPPES Registry Identity

NPI1689156689
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHYESIM MOONCredential: NURSE PRACTITIONER
Location Address7 BROAD AVE STE 203Palisades Park, NJ 07650-1886
Mailing Address464 Hudson TerEnglewood Cliffs, NJ 07632-2902 · (973) 705-4914
Phone(201) 941-2486
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 5, 2018
Last NPPES UpdateDecember 13, 20243 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1689156689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NJ · 26NJ15024700✔ Licensed in NY · F343308-1
7 BROAD AVE STE 203, Palisades Park, NJ 07650
Open in Google Maps ↗

Secondary Practice Location 1

Location 119132 Northern BlvdFlushing, NY 11358-2829 · Phone (718) 762-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Hyesim Moon Nurse Practitioner 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 ID4688014145
PECOS Enrollment IDI20240501000303
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.

Medicare Billing Reassignment

Medicare enrollment records show Hyesim Moon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hudson MD Group
2.9 mi
Family Medicine
464 HUDSON TER STE 201
Englewood Cliffs, NJ 07632
  • Reassigned Medicare billing, New Jersey enrollment
  • 155 clinicians in this Medicare group
NPI 1497301998 (201) 503-0828

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 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
153 services99 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
40 services40 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
25 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services16 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07650 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 2

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

DR BO SHIN, LLC
Podiatrist
7 BROAD AVE STE 203
PALISADES PARK, NJ 07650
Bergen County (201) 705-7885
MRS. EUNSOL CHO LEE APN
Nurse Practitioner (Adult Health)
7 BROAD AVE STE 203
PALISADES PARK, NJ 07650
Bergen County (201) 941-2486

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 Hyesim Moon's NPI number?

The NPI number for Hyesim Moon is 1689156689. It was assigned to this individual provider in the NPPES registry on September 5, 2018.

Where is Hyesim Moon located?

Hyesim Moon practices at 7 Broad Ave Ste 203, Palisades Park, NJ 07650. The listed phone number is (201) 941-2486.

What is Hyesim Moon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Hyesim Moon enrolled in Medicare?

Yes. Hyesim 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 organization bills Medicare for Hyesim Moon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hyesim Moon reassigns Medicare benefits to Hudson MD Group (Englewood Cliffs, NJ). The 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 Hyesim Moon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hyesim Moon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Hyesim 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.

Is Hyesim Moon affiliated with any hospitals?

According to CMS data, Hyesim Moon is affiliated with Holy Name Medical Center.

When was this NPI record last updated?

The NPPES record for Hyesim Moon was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.