CRYSTAL ELAINE MOON PA-C
NPI 1912304015
Physician Assistant - Medical in Chattanooga, TN

Active since December 04, 2014PECOS EnrolledAccepts Medicare Assignment
961 SPRING CREEK RD STE 300, CHATTANOOGA, TN 37412(423) 893-9787 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Elaine Moon Pa-c NPPES

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

CRYSTAL ELAINE MOON PA-C (NPI 1912304015) is an individual medical provider in Chattanooga, Tennessee, licensed in Tennessee (2666) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1912304015
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCRYSTAL ELAINE MOONCredential: PA-C
Location Address961 SPRING CREEK RD STE 300Chattanooga, TN 37412
Mailing Address645 Paul Huff Parkway Nw, Suite 105Cleveland, TN 37312 · (423) 790-4420 · Fax (423) 790-7750
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 4, 2014
Last NPPES UpdateJune 14, 2018
NPI 1912304015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TN · 2666
961 SPRING CREEK RD STE 300, Chattanooga, TN 37412

Secondary Practice Location 1

Location 1645 Paul Huff Parkway NW, Suite 105Cleveland, TN 37312 · Phone (423) 790-4420 · Fax (423) 790-7750

Accepted 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

Crystal Elaine 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 ID6406174374
PECOS Enrollment IDI20200820001621
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.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
961 SPRING CREEK RD STE 300
EAST RIDGE, TN 37412
Nurse Practitioner (Family)
961 SPRING CREEK RD STE 300
CHATTANOOGA, TN 37412
Internal Medicine
961 SPRING CREEK RD STE 300
CHATTANOOGA, TN 37412

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 Crystal Moon's NPI number?

The NPI number for Crystal Moon is 1912304015. It was assigned to this individual provider in the NPPES registry on December 4, 2014.

Where is Crystal Moon located?

Crystal Moon practices at 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412. The listed phone number is (423) 893-9787.

What is Crystal Moon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Crystal Moon enrolled in Medicare?

Yes. Crystal 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.

What insurance does Crystal Moon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Crystal 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 Crystal Moon was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.