SHANNON K CARMONA MOSES N.P.
NPI 1932485489
Nurse Practitioner in New Berlin, WI

Q: What is Shannon Carmona Moses's NPI number?

The NPI number for Shannon Carmona Moses is 1932485489. It was assigned to this individual provider in the NPPES registry on October 28, 2011.

Q: What is Shannon Carmona Moses's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 28, 2011PECOS Enrolled

4855 S MOORLAND RD FL 3, NEW BERLIN, WI 53151(262) 432-7599(262) 432-7694 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2020, Mar 17, 2018, Jan 12, 2018 (3 updates tracked since 2018).

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About Shannon K Carmona Moses N.p. NPPES

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

SHANNON K CARMONA MOSES N.P. (NPI 1932485489) is an individual nurse practitioner in New Berlin, Wisconsin, licensed in Wisconsin (4680-033) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1932485489

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHANNON K CARMONA MOSESCredential: N.P.

Location Address4855 S MOORLAND RD FL 3New Berlin, WI 53151-7494

Mailing Address9000 W Wisconsin Ave # Ms 958Milwaukee, WI 53226-4874 · (414) 266-7615

Phone(262) 432-7599

Fax(262) 432-7694

Sole ProprietorYes

Enumeration DateOctober 28, 2011

Last NPPES UpdateJune 18, 20203 updates tracked since enumeration

NPPES CertifiedJune 18, 2020

✔ NPI 1932485489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 4680-033

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 4680-33 (WI)

4855 S MOORLAND RD FL 3, New Berlin, WI 53151

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Secondary Practice Locations 2

Location 1611 W National AveMilwaukee, WI 53204-1714 · Phone (414) 384-1400 · Fax (414) 672-7012

Location 21284 N Summit AveOconomowoc, WI 53066-4459 · Phone (262) 569-3080

Other Identifiers 1

Medicaid1932485489WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).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)

Shannon K Carmona Moses N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 53151 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 17

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

DR. CARL J PELUSO M.D.

Pediatrics