ANNA MOON FARRELL MS., CCC-SLP
NPI 1780490649
Speech-Language Pathologist in St Augustine, FL

Active since December 05, 2024Accepts Medicare Assignment
105 MARINER HEALTH WAY STE 213, ST AUGUSTINE, FL 32086(904) 217-4259(904) 217-4251 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anna Moon Farrell Ms., Ccc-slp NPPES

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

ANNA MOON FARRELL MS., CCC-SLP (NPI 1780490649) is an individual speech-language pathologist provider in St Augustine, Florida, licensed in Florida (SA15779) and active in the NPI registry since December 2024. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1780490649
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANNA MOON FARRELLCredential: MS., CCC-SLP
Location Address105 MARINER HEALTH WAY STE 213St Augustine, FL 32086-3251
Mailing Address5b Sylvan DrSaint Augustine, FL 32084-2121 · (904) 610-4025
Fax(904) 217-4251
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 5, 2024
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1780490649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SA15779
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
105 MARINER HEALTH WAY STE 213, St Augustine, FL 32086

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

Anna Moon Farrell Ms., Ccc-slp 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 ID648750323
PECOS Enrollment IDI20260213000137

Medicare Billing Reassignment

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

Physical Therapist
105 MARINER HEALTH WAY, STE 213
St Augustine, FL 32086
  • Reassigned Medicare billing, Florida enrollment
  • 39 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 17

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

Physical Therapist
105 MARINER HEALTH WAY STE 213
ST AUGUSTINE, FL 32086
Physical Therapist
105 MARINER HEALTH WAY STE 213
SAINT AUGUSTINE, FL 32086
Physical Therapist
105 MARINER HEALTH WAY STE 213
ST AUGUSTINE, FL 32086
Physical Therapist
105 MARINER HEALTH WAY STE 213
SAINT AUGUSTINE, FL 32086
Physical Therapist
105 MARINER HEALTH WAY STE 213
ST AUGUSTINE, FL 32086
Physical Therapist
105 MARINER HEALTH WAY STE 213
SAINT AUGUSTINE, FL 32086
Occupational Therapist
105 MARINER HEALTH WAY STE 213
ST AUGUSTINE, FL 32086
Physical Therapist
105 MARINER HEALTH WAY STE 213
SAINT AUGUSTINE, FL 32086

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 Anna Moon Farrell's NPI number?

The NPI number for Anna Moon Farrell is 1780490649. It was assigned to this individual provider in the NPPES registry on December 5, 2024.

Where is Anna Moon Farrell located?

Anna Moon Farrell practices at 105 Mariner Health Way Ste 213, St Augustine, FL 32086. The listed phone number is (904) 217-4259.

What is Anna Moon Farrell's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Anna Moon Farrell enrolled in Medicare?

Yes. Anna Moon Farrell 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 Anna Moon Farrell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Moon Farrell reassigns Medicare benefits to Saint Augustine Rehabilitation Specialists LLC (St Augustine, FL). 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 Anna Moon Farrell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anna Moon Farrell was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.