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ALEXIS JADE MOON
NPI 1922848274
Nurse Practitioner - Family in San Angelo, TX

Active since May 24, 2024PECOS EnrolledAccepts Medicare Assignment
271 FORT RICHARDSON AVE, SAN ANGELO, TX 76908(325) 654-4390 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 17, 2025, Jul 11, 2024 (2 updates tracked since 2024).

About Alexis Jade Moon NPPES

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

ALEXIS JADE MOON (NPI 1922848274) is an individual family provider in San Angelo, Texas, licensed in Nevada (851811) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1922848274
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALEXIS JADE MOON
Location Address271 FORT RICHARDSON AVESan Angelo, TX 76908-4901
Mailing Address271 Fort Richardson AveSan Angelo, TX 76908-4901 · (325) 654-4390
Phone(325) 654-4390
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 24, 2024
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1922848274 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
License✔ Licensed in NV · 851811
271 FORT RICHARDSON AVE, San Angelo, TX 76908
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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

Alexis Jade Moon 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 ID2668912866
PECOS Enrollment IDI20240913001167
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.

Areas of Expertise CMS Part B claims 2

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 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.
13 services13 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76908 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

MS. JENNIFER LYNN HOELSCHER RPH
Pharmacist
271 FORT RICHARDSON AVE
SAN ANGELO, TX 76908
Tom Green County (325) 654-5773
TRENT WEYER
Dentist
271 FORT RICHARDSON AVE
SAN ANGELO, TX 76908
Tom Green County (325) 654-3050
AUBRIE WNEK PHARMD
Pharmacist
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Tom Green County (325) 654-3101
MR. PAUL D SCHROTH FNP
Nurse Practitioner (Family)
271 FORT RICHARDSON AVE, GOODFELLOW AFB CLINIC
GOODFELLOW AIR FORCE BASE, TX 76908
Tom Green County (325) 654-3238
PEDRO COLON
Pharmacist
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Tom Green County (325) 654-3101
MIN DAVISON LCSW
Social Worker (Clinical)
271 FORT RICHARDSON AVE
SAN ANGELO, TX 76908
Tom Green County (325) 654-1600
17TH MEDGRP-GOODFELLOW
Clinic/Center (Military/U.S. Coast Guard Outpatient)
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Tom Green County (325) 654-5974
MR. ROBERT WAYNE TURNER LCSW
Social Worker (Clinical)
271 FORT RICHARDSON AVE
GOODFELLOW AFB, TX 76908
Tom Green County (325) 654-5796

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 Alexis Moon's NPI number?

The NPI number for Alexis Moon is 1922848274. It was assigned to this individual provider in the NPPES registry on May 24, 2024.

Where is Alexis Moon located?

Alexis Moon practices at 271 Fort Richardson Ave, San Angelo, TX 76908. The listed phone number is (325) 654-4390.

What is Alexis Moon's specialty?

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

Is Alexis Moon enrolled in Medicare?

Yes. Alexis 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.

When was this NPI record last updated?

The NPPES record for Alexis Moon was last updated on December 17, 2025. 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.