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ABIGAIL ROSE MOON PA-C
NPI 1801784111
Physician Assistant in Phoenix, AZ

Active since June 25, 2025PECOS Enrolled
4530 E RAY RD STE 125, PHOENIX, AZ 85044(602) 343-6167 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2025, Jun 25, 2025 (2 updates tracked since 2025).

About Abigail Rose Moon Pa-c NPPES

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

ABIGAIL ROSE MOON PA-C (NPI 1801784111) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (11139) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1801784111
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameABIGAIL ROSE MOONCredential: PA-C
Location Address4530 E RAY RD STE 125Phoenix, AZ 85044-6096
Mailing Address4530 E Ray Rd Ste 125Phoenix, AZ 85044-6096 · (616) 745-8702
Phone(602) 343-6167
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 25, 2025
Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1801784111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 11139
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4530 E RAY RD STE 125, Phoenix, AZ 85044
Open in Google Maps ↗

Other Names 1

Former Name (1)Abigail Kilmer

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abigail Rose Moon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911414313
PECOS Enrollment IDI20250730001172
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85044 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 2

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

ABIGAIL MCGRATH RD
Dietitian, Registered
4530 E RAY RD STE 125
PHOENIX, AZ 85044
Maricopa County (480) 759-9191
AMY REBECCA FANKHANEL WHNP-BC
Nurse Practitioner (Women's Health)
4530 E RAY RD STE 125
PHOENIX, AZ 85044
Maricopa County (602) 343-6167

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 Abigail Moon's NPI number?

The NPI number for Abigail Moon is 1801784111. It was assigned to this individual provider in the NPPES registry on June 25, 2025. The provider is also known as Abigail Kilmer.

Where is Abigail Moon located?

Abigail Moon practices at 4530 E Ray Rd Ste 125, Phoenix, AZ 85044. The listed phone number is (602) 343-6167.

What is Abigail Moon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Abigail Moon enrolled in Medicare?

Yes. Abigail Moon is registered in the Medicare PECOS enrollment system.

What insurance does Abigail Moon accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Abigail 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 Abigail Moon was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.