BRYNN MOON PA-C
NPI 1881455202
Physician Assistant in Columbus, OH

Q: What is Brynn Moon's NPI number?

The NPI number for Brynn Moon is 1881455202. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Q: What is Brynn Moon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brynn Moon was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since January 22, 2024PECOS EnrolledAccepts Medicare Assignment

111 S GRANT AVE STE 350, COLUMBUS, OH 43215(614) 533-9550(614) 566-8392 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Brynn Moon Pa-c NPPES

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

BRYNN MOON PA-C (NPI 1881455202) is an individual physician assistant in Columbus, Ohio, licensed in Ohio (50.008602RX) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1881455202

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBRYNN MOONCredential: PA-C

Location Address111 S GRANT AVE STE 350Columbus, OH 43215-4701

Mailing AddressPo Box 7527Dublin, OH 43017-0727

Phone(614) 533-9550

Fax(614) 566-8392

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 22, 2024

Last NPPES UpdateNovember 25, 2024

NPPES CertifiedNovember 25, 2024

✔ NPI 1881455202 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 OH · 50.008602RX

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.

111 S GRANT AVE STE 350, Columbus, OH 43215

Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brynn Moon Pa-c 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 ID143761726

PECOS Enrollment IDI20240923003324

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.

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43215 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

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.

CAROLINE NICOLE HOLDEN CNP

Nurse Practitioner (Gerontology)